Most Relevant Information
Provider Data
| NPI Number: | 1003670167 |
| Provider Name: | MICHELLE RENEE' MORALES LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SWB-2024-0049 |
Most Important Dates
| Enumeration Date: | 02/09/2024 |
| Last Updated: | 02/09/2024 |
Provider Practice Location
2105 HASLER VALLEY ROAD
GALLUP
NM
87305
Practice Location Phone/Fax
| Phone: | 5054133447 |
| Fax: |
Provider Mailing Location
2504 CAMINO ENTRADA
SANTA FE
NM
875074851
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |