Bonita Wickstrom Inc
Bonita Wickstrom Inc is a Clinical Social Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12836 Lomas Blvd NE Ste BAlbuquerque, NM 87112-6210
Phone: (505) 453-7862
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence I4390 (NM) |
|---|
Record details
| NPI number | 1548205289 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bonita Wickstrom — President · (505) 275-7795 |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | January 29, 2008 |
| Mailing address | 14507 Encantado Rd Ne, Albuquerque, NM 87123-2249 |
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