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NPI Code Detail

MEDICARE: TEARZA VALENCIA LMSW

MEDICARE: TEARZA VALENCIA LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSWB-2025-1214NM

General Provider Information

NPI Number : 1750060422
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEARZA VALENCIA LMSW
Provider Business Mailing Address
First Line : 1040 SAKELARES BLVD
Second Line :
City : GRANTS
State : NM
Zip : 87020-3819
Country : US
Telephone Number : 505-876-1890
Fax Number : 505-443-8343
Provider Business Practice Location Address
First Line : 1040 SAKELARES BLVD
Second Line :
City : GRANTS
State : NM
Zip : 87020-3819
Country : US
Telephone Number : 505-876-1890
Fax Number : 505-443-8343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2023
Last Update Date : 12/09/2025

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Directions to “ TEARZA VALENCIA LMSW” Practice Location

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