Most Relevant Information
Provider Data
| NPI Number: | 1003226507 |
| Provider Name: | KRISTINE JARAMILLO LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | X-08698 |
Most Important Dates
| Enumeration Date: | 05/06/2014 |
| Last Updated: | 08/07/2015 |
Provider Practice Location
200 CENTER STREET
MORIARTY
NM
87035
Practice Location Phone/Fax
| Phone: | 5058325817 |
| Fax: |
Provider Mailing Location
PO BOX 2000
MORIARTY
NM
87035
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |