Individual
MARK ANTHONY ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2716 SAN PEDRO DR NE STE D, ALBUQUERQUE, NM 87110-3331
(505) 710-5188
Mailing address
2912 THOMPSON LN SW, ALBUQUERQUE, NM 87105-4434
(505) 710-5188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09499
NM
Other
Enumeration date
05/26/2010
Last updated
12/14/2018
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