Basic Information
| Provider Information | |||||||||
| NPI: | 1851624548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DE LA O | ||||||||
| FirstName: | ALMA | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LISW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 OAK ST | ||||||||
| Address2: | |||||||||
| City: | LAS CRUCES | ||||||||
| State: | NM | ||||||||
| PostalCode: | 880053425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5759935225 | ||||||||
| FaxNumber: | 5756524163 | ||||||||
| Practice Location | |||||||||
| Address1: | 3100 OAK ST | ||||||||
| Address2: | |||||||||
| City: | LAS CRUCES | ||||||||
| State: | NM | ||||||||
| PostalCode: | 880053425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5753233354 | ||||||||
| FaxNumber: | 5755323354 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2009 | ||||||||
| LastUpdateDate: | 04/27/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | I-07976 | NM | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.