Individual
ALAN BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
532 DON GASPAR AVE, SANTA FE, NM 87505-2626
(505) 986-3478
Mailing address
532 DON GASPAR AVE, SANTA FE, NM 87505-2626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1310
NM
Other
Enumeration date
04/27/2008
Last updated
04/27/2008
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