MRS. MARY JO BACA, LMSW, MPH

Social Worker - Clinical

Active Individual
NPI: 1811015837

Practice Address

2112 MAIN ST NE
SUITE A
Los Lunas, NM 87031

Phone: (505) 865-6176

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes M-06042 (NM)

Frequently Asked Questions

NPI 1811015837 is the National Provider Identifier for MRS. MARY JO BACA, LMSW, MPH, a Social Worker - Clinical provider located in Los Lunas, NM. This NPI was enumerated on March 27, 2007.
MRS. MARY JO BACA, LMSW, MPH practices at 2112 MAIN ST NE, SUITE A, Los Lunas, NM 87031.

Quick Facts

NPI
1811015837
Type
Individual
Enumerated
Mar 27, 2007
Last Updated
Jul 8, 2007

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