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1003587551
KYLE ROUCKUS
ALBUQUERQUE, NM
NPI
1003587551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NM SWB-2023-1127)
Enumeration Date
2021-09-24
Last Update Date
2024-01-16
Business Address
KYLE ROUCKUS LCSW
528 CARLISLE BLVD NE
ALBUQUERQUE, NM 87106-1323
Phone number: 505-363-3313
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Mailing Address
KYLE ROUCKUS LCSW
528 CARLISLE BLVD NE
ALBUQUERQUE, NM 87106-1323
Phone number: 505-363-3313
Copy
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