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Individual

REBECCA LOUISA CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
(505) 503-7947
Mailing address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
(505) 503-7947

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09936
NM
1041S0200X
School Social Worker
SWB-2023-0148
NM
1041S0200X
School Social Worker
Primary
SWB-2024-0148
NM

Other

Enumeration date
01/18/2018
Last updated
05/06/2024
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