Individual
JULIA CONCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
835 SPRUCE ST, ESPANOLA, NM 87532-3455
(505) 747-0004
Mailing address
835 SPRUCE ST, ESPANOLA, NM 87532-3455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-11473
NM
Other
Enumeration date
08/24/2020
Last updated
08/27/2020
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