Individual
KIM D DUTREMAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC
Contact information
Practice address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
(505) 564-3788
Mailing address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
(505) 564-3788
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-06585
NM
1041C0700X
Clinical Social Worker
C-06585
NM
Other
Enumeration date
08/18/2008
Last updated
07/22/2025
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