Individual
BRIAN ROTHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 855-9893
Mailing address
1814 DON FELIPE RD SW, ALBUQUERQUE, NM 87105-6654
(505) 750-1036
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2024-0322
NM
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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