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CARA A ORTEGA LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1053503250

Individual Registrant:
 CARA A ORTEGA LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
294 CAMINO VERDE  MONTEZUMA, NM 87731-2011 US
Tel: 505-557-5172  Fax: --

Contact information for business:
HC 33 BOX 78  MONTEZUMA, NM 87731-0349 US
Tel: 505-557-5172  Fax: --

Registration Information:
NPI: 1053503250
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NMC-07113

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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