Individual
DESIREE T ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 933-4639
Mailing address
707 BROADWAY BLVD NE STE 103, ALBUQUERQUE, NM 87102-2300
(505) 933-4639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-10568
NM
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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