Individual
LETTICIA OLIVIA URIOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LMSW
Contact information
Practice address
925 MILLS AVE, LAS VEGAS, NM 87701-4047
(505) 570-1927
Mailing address
PO BOX 3694, LAS VEGAS, NM 87701-6694
(505) 570-1927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-10721
NM
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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