Individual
DENISE M RAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2917 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-2489
(505) 269-0212
(505) 312-8684
Mailing address
2917 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-2489
(505) 269-0212
(505) 312-8684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04926
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81006853
—
NM
Enumeration date
04/03/2007
Last updated
09/17/2020
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