Individual
JEANETTE OLIVIA ANTUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW (CSW), LPN
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
6901 QUARTERHORSE LN NW, ALBUQUERQUE, NM 87120-3011
(505) 899-7672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C-2702
NM
104100000X
Social Worker
Primary
C-2702
NM
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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