Individual
MICHELLE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1135 BUTTERFLY ROAD, TAOS, NM 87571
(575) 751-7688
(575) 751-7208
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-08937
NM
1041C0700X
Clinical Social Worker
Primary
C-10158
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L7904
—
NM
Enumeration date
09/09/2009
Last updated
01/02/2025
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