Individual
MISS CHRISTINA D BLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 737-1858
Mailing address
404 PECOS LOOP SE, RIO RANCHO, NM 87124-3207
(505) 414-6718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-12267
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0036
NM
Other
Enumeration date
02/07/2022
Last updated
02/04/2025
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