Individual
JENNIFER BURELLA NUANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
2611 EUBANK BLVD NE, AZTEC COMPLEX, ALBUQUERQUE, NM 87112-1312
(505) 298-6752
Mailing address
2611 EUBANK BLVD NE, AZTEC COMPLEX, ALBUQUERQUE, NM 87112-1312
(505) 298-6752
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I 3642
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S 0627
—
NM
Enumeration date
04/18/2007
Last updated
07/09/2007
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