Search › New Mexico › 104100000X

Jeffrey Versaw, L.I.S.W

NPI 1518103902 · on the registry since 2009 · sole proprietor

Practice

Address
669 Terrace Ave.
B
Chama, NM 87520
Phone
(575) 209-1250

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico