Individual
MS. BONITA LYN POWERS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-7400
(505) 747-7403
Mailing address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-7400
(505) 747-7403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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