Individual
MR. JOSEPH MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1911 5TH ST, STE 100 ODYSSEY HEALTH CARE, SANTA FE, NM 87501
(505) 988-5331
(505) 982-9524
Mailing address
1700 CM DE LA VUELTA, SANTA FE, NM 87501
(505) 984-2385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M2127
NM
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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