Individual
MS. CARRIE ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2519 MAIDEN GRASS RD NW, ALBUQUERQUE, NM 87120-6239
(505) 362-1469
(505) 352-9213
Mailing address
2519 MAIDEN GRASS RD NW, ALBUQUERQUE, NM 87120-6239
(505) 362-1469
(505) 352-9213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2687
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B5608
—
NM
Enumeration date
10/19/2006
Last updated
07/08/2007
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