Individual
MS. MAYRA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112
(505) 271-0329
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111817
TX
104100000X
Social Worker
123346-01
NY
104100000X
Social Worker
Primary
—
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2016
Last updated
04/22/2026
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