Individual
KIM M ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-0001
(505) 933-1482
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04801
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03772012
—
NM
Enumeration date
01/20/2006
Last updated
02/24/2023
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