Individual
JUAN CARLOS DEOSES BURCIAGA
Active
Individual
JUAN CARLOS DEOSES BURCIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
M-10237
NM
1041C0700X
Clinical Social Worker
Primary
C-11414
NM
1041S0200X
School Social Worker
372693
NM
Other
Enumeration date
10/23/2017
Last updated
09/09/2021
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