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1912561556
DESIREE T ORTIZ
ALBUQUERQUE, NM
NPI
1912561556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M-10568)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
DESIREE T ORTIZ
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102-2360
Phone number: 505-933-4639
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Mailing Address
DESIREE T ORTIZ
707 BROADWAY BLVD NE STE 103
ALBUQUERQUE, NM 87102-2300
Phone number: 505-933-4639
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