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Individual

JOSE ANDRES RAMIREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1800
(505) 721-1899
Mailing address
2706 FOOTHILLS AVE, GALLUP, NM 87301-7431
(915) 490-6489

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0122
NM

Other

Enumeration date
04/23/2019
Last updated
03/07/2023
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