IVAN MARIE ROQUE

ALBUQUERQUE, NM
NPI1447401195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-09696)
Enumeration Date2008-09-30
Last Update Date2025-04-24
Business Address
IVAN MARIE ROQUE LCSW
1318 7TH ST NW
ALBUQUERQUE, NM 87102-1244
Phone number: 505-435-0074
Mailing Address
IVAN MARIE ROQUE LCSW
1318 7TH ST NW
ALBUQUERQUE, NM 87102-1244
Phone number: 505-435-0074