Individual
AUDREY MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124
(505) 896-0928
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 261-8317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09682
NM
Other
Enumeration date
12/07/2016
Last updated
05/15/2018
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