Individual
ABRAHAM ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4804 OVERLAND ST NE, ALBUQUERQUE, NM 87109-2667
(505) 492-4507
Mailing address
4804 OVERLAND ST NE, ALBUQUERQUE, NM 87109-2667
(505) 492-4507
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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