Individual
DARVA VICKI KINLICHEENIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2011 TROY KING ROAD, #444, FARMINGTON, NM 87401-1319
(505) 368-5163
(505) 368-5502
Mailing address
PO BOX 1319, SHIPROCK, NM 87420-1319
(505) 368-5163
(505) 368-5502
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
X-06203
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J7695
—
NM
Enumeration date
09/03/2008
Last updated
09/03/2008
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