Individual
JACQUELINE PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
120 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 526-6682
Mailing address
301 PERKINS DR, LAS CRUCES, NM 88005-3248
(575) 652-3448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0072
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0072
NM
Other
Enumeration date
03/04/2024
Last updated
03/04/2026
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