Individual
MARTHA VANESSA RAGSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-1694
(505) 846-3200
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002260
MO
Other
Enumeration date
07/25/2017
Last updated
10/12/2022
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