Individual
MRS. DALEANN LATHROP BALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1501 E 10TH ST, ALAMOGORDO, NM 88310
(575) 443-8133
(575) 443-8055
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3088
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B05749
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19556055
—
NM
Enumeration date
05/19/2008
Last updated
05/19/2008
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