Individual
JUDITH BALDERRAMA-LOVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-2706
(505) 846-3322
Mailing address
1501 SAN PEDRO DR SE, KIRTLAND AFB, NM 87108-5153
(505) 846-3322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0044
NM
1041C0700X
Clinical Social Worker
X-07932
NM
Other
Enumeration date
04/01/2013
Last updated
09/20/2023
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