Individual
IVETH A. ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
29 MORNINGSIDE DR, ROSWELL, NM 88201-6346
(575) 840-6847
Mailing address
200 E CHISUM ST, ROSWELL, NM 88203-5412
(575) 624-6050
(575) 624-6170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-08204
NM
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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