Individual
SCOUT RAE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
Mailing address
501 STATE HIGHWAY 150, EL PRADO, NM 87529-7576
(830) 837-6120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11375
NM
Other
Enumeration date
10/05/2021
Last updated
03/05/2025
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