Individual
MS. JOLYN ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1273 S 2ND ST, RATON, NM 87740-2234
(575) 445-3557
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295886372
—
NM
05
—
71525564
—
NM
Enumeration date
10/19/2009
Last updated
06/25/2015
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