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1508512922
LORETTA A. ROYBAL
TAOS, NM
NPI
1508512922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M-06037)
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
Ms. LORETTA A. ROYBAL LM SW
1335 GUSDORF ROAD, BLDG. E
TAOS, NM 87571
Phone number: 575-758-0670
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Mailing Address
Ms. LORETTA A. ROYBAL LM SW
20 PINE RIDGE DRIVE
LAS VEGAS, NM 87701
Phone number: 505-426-7906
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