Individual
WENDY ANN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
750 MORRIS RD SE, LOS LUNAS, NM 87031-5242
(505) 866-2318
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08301
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22733027
—
NM
Enumeration date
12/02/2011
Last updated
08/27/2015
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