Individual
ALICIA MATURINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 CARRIZO ST NW, LOS LUNAS, NM 87031-6937
(505) 270-1012
Mailing address
1190 CARRIZO ST NW, LOS LUNAS, NM 87031-6937
(505) 270-1012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/04/2016
Last updated
06/30/2022
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