Individual
MS. PATRICIA V CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
39 ACADEMY DR, CORRALES, NM 87048-8731
(505) 898-0596
Mailing address
7100 IDALIA RD NE, RIO RANCHO, NM 87144-7526
(505) 771-1466
(505) 771-1454
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-06270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4574869
—
NM
Enumeration date
04/10/2007
Last updated
07/09/2007
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