Individual
MS. RICHAEL ANNE BOUVET-JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
755 W. HADLEY AVENUE, LAS CRUCES, NM 88005
(575) 652-3135
(575) 652-3135
Mailing address
1128 GARDNER AVE, LAS CRUCES, NM 88001-5440
(575) 640-0294
(575) 652-3135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08424
NM
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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