Individual
JAMES LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
905 WITT RD., TAOS, NM 87571
(575) 758-8023
Mailing address
PO BOX 72, 905 WITT RD., TAOS, NM 87571-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-07122
NM
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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