Individual
MS. THERESA LYNN RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LISW, LCSW
Contact information
Practice address
245 CAMINO SIN PASADA, CORRALES, NM 87048-8539
(505) 553-2969
(505) 890-8480
Mailing address
PO BOX 2239, CORRALES, NM 87048-2239
(505) 553-2969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05875
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47474866
—
NM
Enumeration date
07/04/2006
Last updated
01/04/2020
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