Jeffrey Versaw, L.I.S.W.

NPI #1518103902 in Chama, New Mexico

Provider Information

NPI Number: 1518103902
Entity Type: Individual
Name: Jeffrey Versaw, L.I.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: L.I.S.W.
Enumeration Date: Jan 6, 2009
Last Updated: Jan 6, 2009

Practice Location

Address: 669 TERRACE AVE.
Address 2: B
City: Chama
State: New Mexico
ZIP Code: 87520
Phone: (575) 209-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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