Individual
ANASTACIA SENA JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. PSYCHOLOGY
Contact information
Practice address
126 SILVA AVE., LAS VEGAS, NM 87701
(505) 757-4604
Mailing address
126 SILVA AVE., LAS VEGAS, NM 87701
(505) 757-4604
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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