Individual
MRS. STACIE ANGELA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4286
(505) 938-7700
Mailing address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4286
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-8534
NM
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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