Individual
REBECCA LYNNE BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, RIMHC
Contact information
Practice address
128 GRANT AVE STE 221, SANTA FE, NM 87501-2031
(505) 820-0155
(505) 820-0155
Mailing address
128 GRANT AVE STE 221, SANTA FE, NM 87501-2031
(505) 820-0155
(505) 820-0155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04591
NM
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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