Individual
JESSIE BROWN MACFARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
12200 LOMAS BLVD NE, MANZANO HIGH SCHOOL, ALBUQUERQUE, NM 87112-5804
(505) 559-2220
Mailing address
12200 LOMAS BLVD NE, MANZANO HIGH SCHOOL, ALBUQUERQUE, NM 87112-5804
(505) 559-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I 4450
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A 4744
—
NM
Enumeration date
03/02/2007
Last updated
09/05/2007
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