Individual
MRS. EVELYN S. ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1024 SOUTH PACIFIC, LAS VEGAS, NM 87701
(505) 426-2564
(505) 426-2579
Mailing address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2564
(505) 426-2579
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-0634
NM
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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