Individual
MS. JUDITH ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LCSW
Contact information
Practice address
16 ROADRUNNER TRAIL, PLACITAS, NM 87043
(505) 771-2282
Mailing address
16 ROADRUNNER TRAIL, PLACITAS, NM 87043
(505) 771-2282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0421371
NY
1041C0700X
Clinical Social Worker
Primary
I06292
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160289
GHI
NM
01
—
160289
VALUE OPTIONS
NY
Enumeration date
11/08/2006
Last updated
07/08/2007
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