Individual
THERESA MICHELLE FERRALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1909 CUBA AVE, ALAMOGORDO, NM 88310-5646
(575) 649-8355
Mailing address
PO BOX 33, ORGAN, NM 88052-0033
(575) 649-8355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09635
NM
104100000X
Social Worker
M-09635
—
1041C0700X
Clinical Social Worker
Primary
C-10559
NM
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/31/2018
Last updated
08/27/2021
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