JACQUELINE VIVANCO PEREZ

ALBUQUERQUE, NM
NPI1659566313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-07176)
Additional Taxonomies104100000X Social Worker
(Licence: NM  M-05571)
Enumeration Date2007-09-06
Last Update Date2014-02-27
Business Address
Ms. JACQUELINE VIVANCO PEREZ LISW
1101 MEDICAL ARTS AVE NE BLDG 3-300
ALBUQUERQUE, NM 87102-2706
Phone number: 505-842-5300
Mailing Address
Ms. JACQUELINE VIVANCO PEREZ LISW
1101 MEDICAL ARTS AVE NE BLDG 3-300
ALBUQUERQUE, NM 87102-2706
Phone number: 505-842-5300