Individual
JESSICA CODR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1603 GOLF COURSE RD SE STE A, RIO RANCHO, NM 87124-1762
(505) 994-4100
(505) 994-1229
Mailing address
1603 GOLF COURSE RD SE STE A, RIO RANCHO, NM 87124-1762
(505) 994-4100
(505) 994-1229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-07559
NM
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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