Individual
JAQLYN R BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N DATE ST, SUITE 8, TRUTH OR CONSEQUENCES, NM 87901-2377
(575) 894-7589
(575) 894-7584
Mailing address
405 N DATE ST, SUITE 8, TRUTH OR CONSEQUENCES, NM 87901-2377
(575) 894-7589
(575) 894-7584
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-08304
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358554
PED LICENSE
NM
Enumeration date
07/31/2015
Last updated
07/31/2015
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