Individual
SARAH REBECCA BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
411 1/2 S 3RD ST, RATON, NM 87740
(575) 303-2260
(575) 303-4624
Mailing address
PO BOX 1343, RATON, NM 87740-1343
(323) 480-3710
(575) 221-5561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10834
NM
1041C0700X
Clinical Social Worker
LCSW-17913
AZ
1041C0700X
Clinical Social Worker
LCSW-96025
CA
Other
Enumeration date
02/26/2018
Last updated
05/07/2021
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