Individual
JULIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LICENSED INDEPE
Contact information
Practice address
2418 MILES RD SE, ALBUQUERQUE, NM 87106
(505) 246-2413
(505) 842-1503
Mailing address
2418 MILES RD SE, ALBUQUERQUE, NM 87106
(505) 246-2413
(505) 842-1503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0259
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98063
—
NM
Enumeration date
11/28/2006
Last updated
07/08/2007
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