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Individual

MS. RUTH GRODINSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2287 LEMA ROAD SE, LINCOLN MIDDLE SCHOOL, RIO RANCHO, NM 87124
(505) 892-1100
(505) 892-9728
Mailing address
2911 VIAJE PAVO REAL, SANTA FE, NM 87505-5389
(505) 879-3604

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-4291
NM

Other

Enumeration date
02/23/2007
Last updated
07/08/2007
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