Individual
BRENDA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 CAMINO LA CANADA, LOS LUNAS, NM 87031-8177
(505) 866-2488
(505) 866-2485
Mailing address
6 TOMATO FARM RD, PERALTA, NM 87042-5317
(505) 803-7017
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
303402
NM
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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