| Doctor Name: | MR. MARK JOSEPH ROMANCITO |
| NPI Number: | 1033246665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 08786852 |
| Business Practice Address: | Zuni Public School District 12 Twin Buttes Drive Zuni, NM - 87327 |
| Business Phone Number: | 5057825511 |
| Business Fax Number: | 5057825870 |
| Mailing Address: | Po Box 121, ZUNI |
| State: | NM |
| Postal Code: | 873270121 |
| Phone Number: | 5057825694 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 08786852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |