Individual
MAXINE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1740 GRANDE BLVD SE STE B5, RIO RANCHO, NM 87124-1799
(505) 336-0238
Mailing address
1380 RIO RANCHO BLVD SE # 403, RIO RANCHO, NM 87124-1006
(318) 333-7615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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