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NPI Code Detail

MEDICARE: MRS. VERONICA GARCIA RODRIGUEZ I LISW,LCSW,NASW DIPLO

MEDICARE: MRS. VERONICA GARCIA RODRIGUEZ I LISW,LCSW,NASW DIPLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-3051NM

General Provider Information

NPI Number : 1063511533
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERONICA GARCIA RODRIGUEZ I LISW,LCSW,NASW DIPLO
Provider Business Mailing Address
First Line : 8600 ACADEMY RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-1107
Country : US
Telephone Number : 505-821-3628
Fax Number : 505-856-7103
Provider Business Practice Location Address
First Line : 8600 ACADEMY RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-1107
Country : US
Telephone Number : 505-821-3628
Fax Number : 505-856-7103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 10/01/2018

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