MRS. Mary Jo Ranells Baca, LMSW, MPH
NPI #1811015837 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1811015837
- Entity Type
- Individual
- Name
- MRS. Mary Jo Ranells Baca, LMSW, MPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW, MPH
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2112 MAIN ST NE
- Address 2
- SUITE A
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-6353
- Phone
- (505) 865-6176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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