Individual
TONY BOBADILLA
Active
Individual
TONY BOBADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, PHD
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-08350
NM
1041C0700X
Clinical Social Worker
Primary
C-09780
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-09780
NM REG & LICENSING DEPT
NM
Enumeration date
08/10/2013
Last updated
07/21/2022
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