Bertha De Vries Valid NPI
Individual provider · Clinical Social Worker · Albuquerque, NM
- NPI
- 1114469756
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- C-09224 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-11-14
- Last updated
- 2016-11-14
Practice location
201 Cedar St Se Ste 820
Albuquerque, NM 87106-4912
(505) 841-1434