Individual
ALEXANDRIA JORDANN RAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 TRAMWAY BLVD NE, ALBUQUERQUE, NM 87112-4655
(505) 266-6121
Mailing address
4539 CHADWICK RD NW, ALBUQUERQUE, NM 87120-5403
(323) 774-2495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0489
NM
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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