Individual
MISS JENNIE MAE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-5700
Mailing address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-5700
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B-3143
NM
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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