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Individual

DESIREE R RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LADAC

Contact information

Practice address
101 LETTON DR, RATON, NM 87740-4366
(575) 445-8568
(575) 445-0540
Mailing address
101 LETTON DR, RATON, NM 87740-4366
(575) 445-8568
(575) 445-0540

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
0152711
NM
104100000X
Social Worker
Primary
M-08567
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71525564
NM
Enumeration date
09/04/2009
Last updated
01/23/2014
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