Individual
MS. IRIS JACINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
619 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1432
(505) 255-1101
(505) 255-1101
Mailing address
201 11TH ST NW, #1, ALBUQUERQUE, NM 87102-2961
(505) 934-5138
(505) 255-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07062
NM
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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