Individual
YAEL OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5600 MICKEY DR STE B, FARMINGTON, NM 87402-4543
(505) 793-6099
(505) 675-2737
Mailing address
3030 E MAIN ST STE A20 1034, FARMINGTON, NM 87402-4543
(505) 947-9990
(505) 675-2737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0982
NM
Other
Enumeration date
06/23/2020
Last updated
05/03/2024
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