MR. Carl Lee Wamboldt

NPI #1124538376 in Farmington, New Mexico

Provider Information

NPI Number: 1124538376
Entity Type: Individual
Name: MR. Carl Lee Wamboldt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 2, 2017
Last Updated: Mar 6, 2025

Practice Location

Address: 1001 WEST BROADWAY
City: Farmington
State: New Mexico
ZIP Code: 87401-5638
Phone: (505) 327-4796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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