Individual
KELLY M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 JUAN TABO BLVD NE, STE 2 A, ALBUQUERQUE, NM 87111-2683
(505) 266-6121
Mailing address
5203 JUAN TABO BLVD NE, STE 2 A, ALBUQUERQUE, NM 87111-2683
(505) 266-6121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-09535
NM
Other
Enumeration date
06/01/2016
Last updated
11/10/2022
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