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General NPI Number Information
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NPI Number | 1457616377
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Entity Type | Individual
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Provider Name | JOAN M MORALES LISW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 649 HARKLE RD STE E
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City | SANTA FE
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State | NM
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Zip | 87505-4765
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Country | US
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Telephone | 505-955-9454
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Fax | 505-216-9067
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Provider Business Mailing Address
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Address Line | PO BOX 6880
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City | SANTA FE
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State | NM
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Zip | 87502-6880
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Country | US
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Telephone | 505-216-0332
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Fax | 505-982-0279
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-08245
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License Number State | NM
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