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Individual

MR. ROXROY ANTHONY REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
25 CAMINO COLLADO, EDGEWOOD, NM 87015-9788
(505) 710-4278
(505) 286-0865
Mailing address
25 CAMINO COLLADO, EDGEWOOD, NM 87015-9788
(505) 710-4278
(505) 286-0865

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/08/2011
Last updated
02/08/2011
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