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Individual

MR. JASON C RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW, MSW

Contact information

Practice address
100 W GRIGGS AVE., LA FRONTERA, LAS CRUCES, NM 88001
(575) 647-7900
(575) 647-2898
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88011
(575) 527-7900
(575) 571-4872

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1-07247
NM
1041C0700X
Clinical Social Worker
X-06729
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
Enumeration date
09/01/2009
Last updated
03/06/2014
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