Individual
ALIX RIVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 844-1111
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 844-1111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0412
NM
1041C0700X
Clinical Social Worker
SWB-2022-0412
NM
Other
Enumeration date
06/16/2022
Last updated
12/15/2022
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