Individual
BRENDA MOTLEY-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 488-2500
Mailing address
68A SIOUX TRL, TULAROSA, NM 88352-9680
(575) 430-3426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0900
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62874225
—
NM
Enumeration date
09/28/2010
Last updated
02/09/2024
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