Individual
ANDRES GILBERTO AVILES RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5201 VENICE AVE NE STE A, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Mailing address
2316 ALGODONES ST NE, ALBUQUERQUE, NM 87112-3406
(804) 210-0756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0280
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SWB-2022-0280
BOARD OF SOCIAL WORK EXAMINERS
NM
Enumeration date
07/06/2022
Last updated
07/06/2022
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