BERTHA DE VRIES

ALBUQUERQUE, NM
NPI1114469756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-09224)
Enumeration Date2016-11-14
Last Update Date2016-11-14
Business Address
-- BERTHA DE VRIES
201 CEDAR ST SE STE 820
ALBUQUERQUE, NM 87106-4912
Phone number: 505-841-1434
Mailing Address
-- BERTHA DE VRIES
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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