Kim D Dutremaine LISW, LADAC

NPI 1770739096 - Social Worker - 1041C0700X

NPI Details
NPI 1770739096
Gender Female
Enumeration Date 08/18/2008
Last Updated 08/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
205 N AUBURN AVE
FARMINGTON NM, 87401-8411, US
Phone (505) 564-3733
Fax (505) 564-3788
Business Location
205 N AUBURN AVE
FARMINGTON NM, 87401-8411, US
Phone (505) 564-3733
Fax (505) 564-3788
Toxanomy
Taxonomy Code 1041C0700X
License State New Mexico
License Number I-06585
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According to our database, Kim D Dutremaine LISW, LADAC NPI is 1770739096, taxonomy code is 1041C0700X and license number is I-06585, license state is located at New Mexico. Kim D Dutremaine LISW, LADAC physically located at 205 N Auburn Ave, Farmington NM, 87401-8411. NPI Number Kim D Dutremaine LISW, LADAC has the Individual type.

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1770739096 NPI number is provided on an as is basis without warranty of any kind. 1770739096 is maintained by the National Plan & Provider Enumeration System. The contents of Kim D Dutremaine LISW, LADAC are for informational purposes only.