Nicole K Deherrera, LISW
NPI #1417281015 in Farmington, New Mexico
Provider Information
- NPI Number
- 1417281015
- Entity Type
- Individual
- Name
- Nicole K Deherrera, LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Sep 29, 2009
- Last Updated
- Mar 18, 2014
Practice Location
- Address
- 4601 COLLEGE BLVD
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-4609
- Phone
- (505) 566-3846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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