Individual
SYLVIA BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 N MAIN ST, CLOVIS, NM 88101-7552
(575) 935-5550
Mailing address
1113 AQUARIUS DR, PORTALES, NM 88130-6109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
09/09/2009
Last updated
07/07/2026
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