Individual
KALEE WILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
500 E CHACO ST, AZTEC, NM 87410-2170
(505) 334-9414
Mailing address
1204 SAN JUAN BLVD, FARMINGTON, NM 87401-2724
(505) 486-9065
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
01/18/2022
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