Doctor Name: | MISS ESTELA IRENE RODRIGUEZ |
NPI Number: | 1598897092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | M3504 |
Business Practice Address: | 207 A St Hurley, NM - 880439750 |
Business Phone Number: | 5053130973 |
Business Fax Number: | 5058723263 |
Mailing Address: | 207 A St, HURLEY |
State: | NM |
Postal Code: | 880439750 |
Phone Number: | 5053130973 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | M3504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |