Individual
KATHLEEN MANSHIP ROLLASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW, LCSW,ACSW
Contact information
Practice address
1 ENEBRO CT, SANTA FE, NM 87508-8836
(505) 699-5668
Mailing address
1 ENEBRO CT, SANTA FE, NM 87508-8836
(505) 699-5668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4100
LA
1041C0700X
Clinical Social Worker
Primary
6976-C
AR
1041C0700X
Clinical Social Worker
I-05744
NM
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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