Individual
JOSHUA RAY PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4704 JENNIFER DR NE, ALBUQUERQUE, NM 87109-1729
(505) 697-9473
Mailing address
4704 JENNIFER DR NE, ALBUQUERQUE, NM 87109-1729
(505) 697-9473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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