Individual
MRS. BAILEY GRUNDHOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 BROADWAY BLVD NE STE 103, ALBUQUERQUE, NM 87102-2300
(505) 933-4639
Mailing address
707 BROADWAY BLVD NE STE 103, ALBUQUERQUE, NM 87102-2300
(505) 933-4639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09809
NM
Other
Enumeration date
07/05/2011
Last updated
07/21/2022
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