Individual
MRS. JENNIFER DIANE RAESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5900
Mailing address
5195 IMPERIAL DR, LAS CRUCES, NM 88012-0660
(575) 312-7394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04606
NM
Other
Enumeration date
12/04/2007
Last updated
08/13/2012
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