Individual
MS. DENISE TETRUEALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
10 PRICE RANCH RD, SANTA FE, NM 87505-9597
(505) 466-4184
Mailing address
10 PRICE RANCH RD, SANTA FE, NM 87505-9597
(505) 466-4184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-06573
NM
1041S0200X
School Social Worker
M-05146
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26178516
—
NM
Enumeration date
03/29/2007
Last updated
08/05/2024
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