Individual
MRS. TAMARA SUZANNE BIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-1037
(505) 294-3900
(505) 294-3904
Mailing address
PO BOX 2170, TIJERAS, NM 87059-2170
(505) 350-1321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0067282
NM
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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