Individual
MS. KATHRYN AGATA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LISW
Contact information
Practice address
1660 OLD PECOS TRAIL, SUITE C, SANTA FE, NM 87505
(505) 469-9259
Mailing address
PO BOX 31535, SANTA FE, NM 87594
(505) 438-2004
(505) 438-4595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
NMI4097
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A4229
—
NM
01
—
NM100251
VALUE OPTIONS NM
NM
Enumeration date
12/13/2006
Last updated
07/08/2007
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