Individual
MR. ROBERT PAGE KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW/MA
Contact information
Practice address
17 CAMINO PINON, SANTA FE, NM 87508-1903
(505) 930-1477
Mailing address
17 CAMINO PINON, SANTA FE, NM 87508-1903
(505) 930-1477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06020
NM
1041C0700X
Clinical Social Worker
Primary
C-06713
NM
1041C0700X
Clinical Social Worker
I-06713
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71957332
—
NM
Enumeration date
07/19/2007
Last updated
04/20/2016
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