Individual
ALETA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNSER BLVD SE STE 103, RIO RANCHO, NM 87124-4660
(505) 730-7195
Mailing address
500 UNSER BLVD SE STE 103, RIO RANCHO, NM 87124-4660
(505) 730-7195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10522
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-10522
STATE LICENSE
NM
Enumeration date
04/11/2019
Last updated
04/11/2019
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