NICOLE K DEHERRERA

FARMINGTON, NM
NPI1417281015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-08612)
Additional Taxonomies104100000X Social Worker
(Licence: NM  M-07674)
Enumeration Date2009-09-29
Last Update Date2014-03-18
Business Address
-- NICOLE K DEHERRERA LISW
4601 COLLEGE BLVD
FARMINGTON, NM 87402-4609
Phone number: 505-566-3846
Mailing Address
-- NICOLE K DEHERRERA LISW
4601 COLLEGE BLVD
FARMINGTON, NM 87402-4609
Phone number: 505-566-3846