Individual
MS. ROZANA MARLAINE BATES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
501 AIRPORT DR STE 253, FARMINGTON, NM 87401-2646
(505) 325-2778
(505) 325-6171
Mailing address
501 AIRPORT DR STE 253, FARMINGTON, NM 87401-2646
(505) 325-2778
(505) 325-6171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-06863
NM
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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