Individual
MS. MONA LISA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
101 LETTON DR, RATON, NM 87740-4366
(575) 383-2065
(575) 445-0540
Mailing address
101 LETTON DR, RATON, NM 87740-4366
(575) 383-2065
(575) 445-0540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-10129
NM
Other
Enumeration date
08/24/2009
Last updated
01/22/2020
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