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Individual

MILDRED ALTAMIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(212) 241-5219
Mailing address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/04/2020
Last updated
09/13/2024
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