Individual
KRISTINE JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 CENTER STREET, MORIARTY, NM 87035
(505) 832-5817
Mailing address
PO BOX 1283, EDGEWOOD, NM 87015-1283
(505) 410-1737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10694
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-10694
LCSW
NM
Enumeration date
05/06/2014
Last updated
01/29/2025
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