Individual
ROXI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
704 2ND ST SW, ALBUQUERQUE, NM 87102-4119
(505) 221-6630
Mailing address
1209 MOUNTAIN ROAD PL NE # 11155, ALBUQUERQUE, NM 87110-7825
(505) 221-6630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2025-0779
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0779
NM
Other
Enumeration date
04/26/2022
Last updated
03/25/2026
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