NICOLE DEHERRERA, LISW
Social Worker - Clinical
Active
Individual
NPI: 1417281015
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | M-07674 (NM) |
| Social Worker - Clinical | 1041C0700X | Yes | I-08612 (NM) |
Frequently Asked Questions
NPI 1417281015 is the National Provider Identifier for NICOLE DEHERRERA, LISW, a Social Worker - Clinical provider located in Farmington, NM. This NPI was enumerated on September 29, 2009.
NICOLE DEHERRERA, LISW practices at 4601 COLLEGE BLVD, Farmington, NM 87402.
Quick Facts
- NPI
- 1417281015
- Type
- Individual
- Enumerated
- Sep 29, 2009
- Last Updated
- Mar 18, 2014
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