Individual
BERNADETTE DINA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
709 W HOPEWELL, ESTANCIA, NM 87016
(505) 384-2002
Mailing address
PO BOX 68, ESTANCIA, NM 87016-0068
(505) 384-2002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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