Individual
MARLO M VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BMS
Contact information
Practice address
720 UNIVERSITY AVE, LAS VEGAS, NM 87701-4250
(505) 454-8265
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-1177
NM
Other
Enumeration date
09/02/2009
Last updated
01/22/2025
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