Individual
JULIA D LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
HC 73 BOX 70, SAN JOSE, NM 87565-9703
(505) 699-5794
Mailing address
HC 73 BOX 70, SAN JOSE, NM 87565-9703
(505) 699-5794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-2051
NM
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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