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Individual

MR. ANTHONY RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6301 NM HWY 28, ANTHONY, NM 88021
(575) 882-6300
Mailing address
4950 MCNUTT RD, SUNLAND PARK, NM 88008-9621
(575) 882-6376

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08625
NM
1041C0700X
Clinical Social Worker
Primary
M-07306
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36973289
NM
Enumeration date
06/11/2010
Last updated
05/04/2026
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