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Individual

DANIEL ANTONIO FIERRO LOMELI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
324 CORNELL DR SE, ALBUQUERQUE, NM 87106-5513
(602) 380-1750
Mailing address
324 CORNELL DR SE, ALBUQUERQUE, NM 87106-5513
(602) 380-1750

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-095720
NM
1041C0700X
Clinical Social Worker
LCSW-18567
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03075567
NM
05
49803034
NM
Enumeration date
04/12/2013
Last updated
04/06/2023
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