Individual
CHAYA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5203 JUAN TABO BLVD NE STE 2A, ALBUQUERQUE, NM 87111-2691
(505) 266-6121
Mailing address
5203 JUAN TABO BLVD NE STE 2A, ALBUQUERQUE, NM 87111-2691
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10227
NM
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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