Individual
MAYRA CECILIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 917-1648
Mailing address
148 55TH ST SW, ALBUQUERQUE, NM 87121-2306
(505) 917-1648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
X11826
NM
104100000X
Social Worker
Primary
SWB-2023-0012
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
Enumeration date
11/17/2021
Last updated
03/10/2026
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