Individual
MS. BONNIE BETH CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
12 UNSER BLVD SE, SUITE B, RIO RANCHO, NM 87124-6300
(505) 896-7880
(505) 994-2482
Mailing address
PO BOX 44761, RIO RANCHO, NM 87174-4761
(505) 896-7880
(505) 994-2482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I2876
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I-2876
INDEPENDENT SOCIAL WORKER
NM
Enumeration date
08/03/2006
Last updated
07/21/2022
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