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Individual

MRS. JUANITA RAQUEL ZENGERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 660-5364
(505) 474-4663
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 660-5364
(505) 474-4663

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08136
NM
1041C0700X
Clinical Social Worker
X-06738
NM

Other

Enumeration date
04/14/2010
Last updated
01/27/2014
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