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Individual

LUISA ANTONIA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LSSW

Contact information

Practice address
2810 SUDDERTH DR STE 210, RUIDOSO, NM 88345-6307
(575) 973-7193
Mailing address
124 MAPLE DR, RUIDOSO, NM 88345-6415
(575) 973-7193

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09516
NM

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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