Individual
MISS AGNES DAWN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROVISIONAL LISW
Contact information
Practice address
2150 HIGHWAY 54 S, ALAMOGORDO, NM 88310-7330
(575) 443-8133
(575) 443-8055
Mailing address
PO BOX 553, HI RLS MTN PK, NM 88325-0553
(575) 443-6166
(575) 437-0755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07111
NM
Other
Enumeration date
06/25/2009
Last updated
01/24/2021
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