Maisie Jacquez, LCSW

NPI #1437774312 in Bloomfield, New Mexico

Provider Information

NPI Number: 1437774312
Entity Type: Individual
Name: Maisie Jacquez, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 16, 2020
Last Updated: Jul 21, 2025

Practice Location

Address: 2508 E BLANCO BLVD
City: Bloomfield
State: New Mexico
ZIP Code: 87413-7404
Phone: (505) 210-1029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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