Individual
MAURICE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7704 2ND ST NW, ALBUQUERQUE, NM 87107-6755
(505) 897-5700
(505) 897-1010
Mailing address
7704 2ND ST NW, ALBUQUERQUE, NM 87107-6755
(505) 897-5700
(505) 897-1010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-04601
NM
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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