Mia G Pacheco, LMSW

NPI #1396433785 in Penasco, New Mexico

Provider Information

NPI Number: 1396433785
Entity Type: Individual
Name: Mia G Pacheco, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Apr 25, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 201 M PUEBLO VIEW ROAD
City: Penasco
State: New Mexico
ZIP Code: 87553-0127
Phone: (575) 779-4279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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