Individual
JIMMY L. WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
6001 MOON ST NE, APT. 413, ALBUQUERQUE, NM 87111-1461
(505) 263-9810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-04982
NM
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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