Provider Demographics
NPI:1265795231
Name:JULIANO, TEMPIE (LISW)
Entity type:Individual
Prefix:
First Name:TEMPIE
Middle Name:
Last Name:JULIANO
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 E PALACE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-6410
Mailing Address - Country:US
Mailing Address - Phone:505-553-0444
Mailing Address - Fax:
Practice Address - Street 1:645 E PALACE AVE APT B
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-6410
Practice Address - Country:US
Practice Address - Phone:505-553-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-24
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX373531041C0700X
NMI-087641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical