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Individual

MRS. PETRA JEAN ARMIJO-BERTOLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
101 N 2ND ST, RATON, NM 87740-3803
(505) 445-7090
Mailing address
1448 TURNESA ST, RATON, NM 87740-4438
(505) 445-4258

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05318
NM

Other

Enumeration date
04/10/2006
Last updated
07/08/2007
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