Individual
JOSHUA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 W D. L. INGRAM AVE, CANNON AFB, NM 88101
(575) 904-3901
Mailing address
104 W D. L. INGRAM AVE, CANNON AFB, NM 88101
(575) 904-3901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68585
TX
390200000X
Student in an Organized Health Care Education/Training Program
68585
TX
Other
Enumeration date
04/19/2021
Last updated
08/24/2023
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