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Provider Information for 1699421446


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Mrs. BOBBI JO ORTIZ LCSW


Sex: Female

NPI: 1699421446
Last Updated: 2022-03-01
Certification Date: 2022-03-01

Details

NameValue
NPI1699421446
Enumeration Date2022-03-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6113 CADIZ ST
EL PASO, TX 79912-5247
United States

Phone: 915-433-3663 | Fax:
 
Primary Practice Address 6113 CADIZ ST
EL PASO, TX 79912-5247
United States

Phone: 915-433-3663 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - Clinical