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Individual

LUCAS BOJORQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SW

Contact information

Practice address
1111 EASTERDAY DR NE, GRANT MS, ALBUQUERQUE, NM 87112-5115
(505) 299-2113
Mailing address
1111 EASTERDAY DR NE, GRANT MS, ALBUQUERQUE, NM 87112-5115
(505) 299-2113

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
I 0026
NM
1041S0200X
School Social Worker
Primary
I 0026
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H 3163
NM
Enumeration date
03/01/2007
Last updated
09/11/2025
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