Individual
DAPHINA JODY ANTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6701 FORTUNA RD NW, WEST MESA HS, ALBUQUERQUE, NM 87121-1306
(505) 831-6993
Mailing address
6701 FORTUNA RD NW, WEST MESA HS, ALBUQUERQUE, NM 87121-1306
(505) 831-6993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I 04805
NM
1041S0200X
School Social Worker
Primary
I 04805
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30325200
—
NM
Enumeration date
02/28/2007
Last updated
09/11/2025
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