Individual
MR. KENNETH BRUCE WINFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1330 SAN PEDRO DR NE, SUITE 201-B, ALBUQUERQUE, NM 87110-6744
(505) 410-1379
Mailing address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 410-1379
(505) 207-7421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
M-07767
NM
Other
Enumeration date
12/28/2009
Last updated
12/07/2024
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