Individual
MARIA DE JESUS ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
838 W DIDIER AVE, BELEN, NM 87002-3160
(505) 312-0040
Mailing address
838 W DIDIER AVE, BELEN, NM 87002-3160
(505) 312-0040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-1033
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10124314
—
NM
Enumeration date
08/01/2016
Last updated
08/12/2024
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