Individual
CORINNA A JIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 E 20TH ST STE D, FARMINGTON, NM 87401-2151
(505) 327-0293
Mailing address
475 E 20TH ST STE D, FARMINGTON, NM 87401-2151
(505) 327-0293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0832
NM
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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