NICHOLAS BOEDER

TAOS, NM
NPI1851786446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-08893)
Enumeration Date2015-04-01
Last Update Date2016-12-15
Business Address
-- NICHOLAS BOEDER LCSW
1335 GUSDORF ROAD BUILDING E
TAOS, NM 87571
Phone number: 575-758-0670
Mailing Address
-- NICHOLAS BOEDER LCSW
PO BOX 437
EL PRADO, NM 87529
Phone number: 575-770-0436
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