Individual
DULCE A MEDINA BUSTILLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7520 MONTGOMERY BLVD NE BLDG E15, ALBUQUERQUE, NM 87109-1586
(505) 226-6380
(505) 214-5852
Mailing address
1519 SEVEN FALLS PL SW, ALBUQUERQUE, NM 87121-3560
(505) 433-1993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0147
NM
Other
Enumeration date
08/07/2018
Last updated
10/22/2024
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