Oasis Therapy, LLC

NPI #1588239644 in Mora, New Mexico

Provider Information

NPI Number: 1588239644
Entity Type: Organization
Organization Name: Oasis Therapy, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 1520 NM-94
City: Mora
State: New Mexico
ZIP Code: 87732
Phone: (505) 617-1180

Authorized Official

Name: DEIDRA CORDOVA, LCSW
Title: CLINICAL SOCIAL WORKER
Phone: (505) 617-1180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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