Individual
NALLELY VIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
826 ANTHONY DR., ANTHONY, NM 88021
(575) 201-5135
(575) 449-4052
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
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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