Individual
MRS. LYDIA A ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5622
Mailing address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X07727
NM
Other
Enumeration date
10/01/2009
Last updated
11/27/2012
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