Individual
JENNIE MCCRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1033 MESA RIDGE DR SW, LOS LUNAS, NM 87031-6189
(505) 385-5829
Mailing address
1033 MESA RIDGE DR SW, LOS LUNAS, NM 87031-6189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2741
NM
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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