Jan Michael Antonio, CSW
NPI #1063297133 in Farmington, New Mexico
Provider Information
- NPI Number
- 1063297133
- Entity Type
- Individual
- Name
- Jan Michael Antonio, CSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- CSW
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Aug 28, 2023
Practice Location
- Address
- 1001 W BROADWAY STE D
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-5638
- Phone
- (505) 592-7553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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