Individual
MR. JAY PATRICK CROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
106 RANCHITOS RD, CORRALES, NM 87048-9580
(505) 934-1248
Mailing address
106 RANCHITOS RD, CORRALES, NM 87048-9580
(505) 934-1248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0042
NM
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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