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NPI Code Detail

MEDICARE: JANICE M. ALVILLAR LISW

MEDICARE:   JANICE M. ALVILLAR  LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI-4324NM

General Provider Information

NPI Number : 1235355504
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE M. ALVILLAR LISW
Provider Business Mailing Address
First Line : 3100 OAK ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3425
Country : US
Telephone Number : 575-993-5225
Fax Number : 575-652-4163
Provider Business Practice Location Address
First Line : 1320 S SOLANO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3758
Country : US
Telephone Number : 505-556-1656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 11/22/2016

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Directions to “ JANICE M. ALVILLAR LISW” Practice Location

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