David Joseph Breault, LISW Valid NPI

Individual provider · Clinical Social Worker · Albuquerque, NM

NPI

1104975960

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

I-2244 (NM)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-10

Last updated

2007-07-09