Individual
MRS. BONNIE LOU FICK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1131 TRACY PLACE, CARLSBAD, NM 88220
(505) 234-3318
(505) 234-3452
Mailing address
1131 TRACY PLACE, CARLSBAD, NM 88220-5270
(505) 234-3318
(505) 234-3452
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I05545
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S0147
—
NM
Enumeration date
02/22/2007
Last updated
07/09/2007
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