Michelle K Bane, LISW Valid NPI
Individual provider · Clinical Social Worker · Albuquerque, NM
- NPI
- 1881807311
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- I-05090 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-08
- Last updated
- 2007-07-08
Practice location
1218 Griegos Rd Nw
Albuquerque, NM 87107-3752
(505) 345-8471