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Individual

SYLVIA BALTAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
400 N PENNSYLVANIA AVE STE 670B, ROSWELL, NM 88201-4755
(575) 769-2345
(575) 769-9013
Mailing address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041S0200X
School Social Worker

Other

Enumeration date
09/09/2009
Last updated
05/12/2025
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