Individual
THERESA JEAN JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4001 OFFICE COURT DR STE 701, SANTA FE, NM 87507-4905
(203) 752-6248
Mailing address
178 GRULLAS EN EL BOSQUE, BERNALILLO, NM 87004-6063
(203) 752-6248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10082
NM
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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