Individual
MRS. TINA MARIE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5201 VENICE AVE NE, SUITE A, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Mailing address
5201 VENICE AVE NE, SUITE A, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08575
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12183822
—
NM
Enumeration date
01/05/2010
Last updated
05/05/2015
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