Individual
MAX ORTIZ CONCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4204
(505) 855-9805
(505) 848-9468
Mailing address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4204
(505) 855-9805
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-06879
NM
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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