Individual
ANGELA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
401 S 4TH ST, RATON, NM 87740-4007
(575) 445-3557
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-06832
NM
1041S0200X
School Social Worker
M-06832
NM
Other
Enumeration date
09/13/2009
Last updated
06/11/2014
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