Individual
JEREMIAH ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMSW
Contact information
Practice address
6400 UPTOWN BLVD NE STE 360W, ALBUQUERQUE, NM 87110-4202
(505) 855-9893
(505) 848-9468
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
(505) 855-9893
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
X-10125
NM
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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