Individual
DAVID BRECK BOGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
PO BOX 3338, ALBUQUERQUE, NM 87190-3338
(505) 255-5099
Mailing address
4717 HANNETT AVE NE, ALBUQUERQUE, NM 87110-5015
(505) 514-8695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4374
NM
1041S0200X
School Social Worker
Z 8589
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z 8589
—
NM
Enumeration date
03/14/2007
Last updated
07/21/2022
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