Individual
MS. LORETTA A. ROYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM SW
Contact information
Practice address
1335 GUSDORF ROAD, BLDG. E, TAOS, NM 87571
(575) 758-0670
(575) 751-3557
Mailing address
20 PINE RIDGE DRIVE, LAS VEGAS, NM 87701
(505) 426-7906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-06037
NM
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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