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Individual

JAMES JACKSON ATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
355 S MILLER AVE, FARMINGTON, NM 87401-6463
(505) 327-7606
(505) 326-1762
Mailing address
355 S MILLER AVE, FARMINGTON, NM 87401-6463
(505) 327-7606
(505) 326-1762

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-05353
NM

Other

Enumeration date
03/31/2010
Last updated
03/31/2010
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