Individual
MS. LAVERNE L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1505 15TH ST, SUITE A, LOS ALAMOS, NM 87544-3000
(505) 662-3264
(505) 662-9707
Mailing address
PO BOX 635, SANTA CRUZ, NM 87567-0635
(505) 753-7895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-06789
NM
Other
Enumeration date
12/11/2006
Last updated
09/09/2009
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