Individual
LISA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 257-2368
(505) 257-2141
Mailing address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 257-2368
(505) 257-2141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65192
NM
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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