Individual
MICHELLE BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
320 GOLD AVE SW, SUITE 1001, ALBUQUERQUE, NM 87102-3202
(505) 247-4900
(505) 933-6373
Mailing address
320 GOLD AVE SW, SUITE 1001, ALBUQUERQUE, NM 87102-3202
(505) 247-4900
(505) 933-6373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-07571
NM
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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