Individual
KENIA I ALVIDREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1660 OLD PECOS TRL STE A, SANTA FE, NM 87505-4778
(505) 657-9708
Mailing address
1660 OLD PECOS TRL STE A, SANTA FE, NM 87505-4778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0456
NM
Other
Enumeration date
06/02/2023
Last updated
07/24/2023
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