Individual
AMANDA LEIGH ROARK-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNSER BLVD SE STE 103, RIO RANCHO, NM 87124-4660
(505) 916-2007
Mailing address
500 UNSER BLVD SE STE 103, RIO RANCHO, NM 87124-4660
(505) 916-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-10523
NM
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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