Individual
MR. JIMMYLEE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-08475
NM
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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