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Individual

MS. KELLEY D MARTIN-RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 887-9579
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 887-9579

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06889
NM
1041C0700X
Clinical Social Worker
X-05589
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48857823
NM
Enumeration date
11/06/2006
Last updated
05/26/2009
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