Individual
ROSE MARIE CODOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
230 ROTTEN TREE ROAD, TAOS, NM 87571-1846
(575) 758-4224
(575) 751-5219
Mailing address
PO BOX 1846, TAOS, NM 87571-1846
(575) 758-4224
(575) 751-5219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-3352
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-3352
LICENSED MASTERS SOCIAL WORKER
NM
Enumeration date
04/29/2010
Last updated
04/29/2010
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