Individual
INGRID LUCIA BISBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2059
(505) 249-2798
(505) 254-9911
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2059
(057) 028-1125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11350
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16755766
—
NM
Enumeration date
02/23/2018
Last updated
05/15/2023
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