Individual
MRS. ROSE M. BOATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
202 E BLODGETT ST, CARLSBAD, NM 88220-6302
(505) 628-3034
(505) 628-3034
Mailing address
800 W PIERCE ST, CARLSBAD, NM 88220-5218
(575) 885-3082
(575) 885-3082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05091
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00JL25
BLUE CROSS BLUE SHIELD
NM
05
—
62973762
—
NM
01
—
NM202650
VALUE OPTIONS
NM
Enumeration date
11/15/2006
Last updated
05/16/2017
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