Individual
AUDREY MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 S MAIN ST, LAS CRUCES, NM 88005-3113
(575) 386-4184
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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