Organization
MORA INDEPENDENT SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN GARCIA (MEDICAID COORDINATOR)
(505) 387-3109
Entity
Organization
Contact information
Practice address
HIGHWAY 518 RANGER RD, MORA, NM 87732
(505) 387-3109
Mailing address
PO BOX 179, MORA, NM 87732-0179
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
247324
NM
235Z00000X
Speech-Language Pathologist
Primary
122095
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47265
—
NM
Enumeration date
03/13/2007
Last updated
09/11/2025
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