Individual
KIMBERYLY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
11799 STATE HIGHWAY 337, ROOSEVELT MS, TIJERAS, NM 87059-8619
(505) 281-3316
Mailing address
11799 STATE HIGHWAY 337, ROOSEVELT MS, TIJERAS, NM 87059-8619
(505) 281-3316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M 2202
NM
1041S0200X
School Social Worker
Primary
M 2202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59936355
—
NM
Enumeration date
03/01/2007
Last updated
09/11/2025
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