Individual
RENEE MARTINEZ-CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
1510 ELLISON DR NW, CIBOLA HS, ALBUQUERQUE, NM 87114-5101
(505) 897-0110
Mailing address
1510 ELLISON DR NW, CIBOLA HS, ALBUQUERQUE, NM 87114-5101
(505) 897-0110
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M 04692
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74189751
—
NM
Enumeration date
01/18/2007
Last updated
07/09/2007
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