Individual
MANUEL A ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1311 N GRANT ST STE A, SILVER CITY, NM 88061
(575) 388-1447
Mailing address
1311 N GRANT ST STE A, SILVER CITY, NM 88061-5134
(575) 388-1447
(575) 388-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11960
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86356844
—
NM
Enumeration date
03/14/2018
Last updated
10/17/2024
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