Individual
MR. MICHAEL ALLAN BUDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
8 EL CERRO TRAIL, SANTA FE, NM 87508
(505) 438-6039
Mailing address
8 EL CERRO TRAIL, SANTA FE, NM 87508
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-08219
NM
1041C0700X
Clinical Social Worker
I-08219
NM
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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