Individual
CAROL BERNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 753-2254
Mailing address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 753-2254
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B1798
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34659714
—
NM
Enumeration date
11/17/2006
Last updated
07/09/2007
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