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Individual

BENTLEY AVA CARBONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
Mailing address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTB-2024-0020
NM

Other

Enumeration date
01/18/2023
Last updated
07/24/2024
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