Individual
NALLELY VIRAMONTES
Active
Individual
NALLELY VIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09274
NM
1041C0700X
Clinical Social Worker
Primary
C-10686
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53754387
—
NM
Enumeration date
03/03/2015
Last updated
03/04/2019
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