Individual provider · NPI-1

Kenia I Alvidrez, LMSW

Social Worker, Clinical · Santa Fe, NM

NPI number1740973833
StatusActive
Last updated in NPPESJul 24, 2023

Details

NPI
1740973833
Entity type
Individual (NPI-1)
Name
Kenia I Alvidrez
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 2, 2023
Certification date
Jul 22, 2023
Last updated
Jul 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSWB-2023-0456NMYes

Practice location

1660 Old Pecos Trl Ste A
Santa Fe, NM 87505-4778

Phone 505-657-9708

Mailing address

1660 Old Pecos Trl Ste A
Santa Fe, NM 87505-4778

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