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Organization

JODI AHREND LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI AHREND LCSW (OWNER OPERATOR)
(505) 573-4595
Entity
Organization

Contact information

Practice address
304 GENERAL BRADLEY ST NE, ALBUQUERQUE, NM 87123-1016
(505) 573-4595
Mailing address
304 GENERAL BRADLEY ST NE, ALBUQUERQUE, NM 87123-1016
(505) 573-4595

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38770822
NM
Enumeration date
02/24/2022
Last updated
04/15/2022
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