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6713 4th St Nw Los Ranchos NM 87107-6114 | |
| (505) 520-5101 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6713 4th St Nw, Los Ranchos, New Mexico |
| Authorized Official Name and Position | Aria Sutton (LCSW- OWNER) |
| Authorized Official Contact | 5055205101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
108 Caminito Alegre Corrales NM 87048-7506 Ph: (505) 410-2884 | 6713 4th St Nw Los Ranchos NM 87107-6114 Ph: (505) 520-5101 |
| NPI Number | 1669233755 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669233755 | NPI | - | NPPES |
| 1639549744 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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