Individual
PAULA L RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2112 MAIN STREET NE, SUITE A, LOS LUNAS, NM 87031
(505) 916-5900
(505) 916-5901
Mailing address
2441 CABEZON BLVD SE, RIO RANCHO, NM 87124
(505) 717-1155
(505) 717-1473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M07384
NM
1041C0700X
Clinical Social Worker
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49335871
—
NM
Enumeration date
08/18/2010
Last updated
09/11/2015
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