Individual
SAMANTHA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 S TELSHOR BLVD, LAS CRUCES, NM 88011-4688
(575) 524-6820
Mailing address
5023 GALINA DR, LAS CRUCES, NM 88012-9492
(575) 652-2196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-12079
NM
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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