DEIDRA MARIE CORDOVA

LAS VEGAS, NM
NPI1851806525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-10903)
Additional Taxonomies104100000X Social Worker
(Licence: NM  M-09998)
Enumeration Date2017-12-04
Last Update Date2021-05-07
Business Address
DEIDRA MARIE CORDOVA LMSW
2534 RIDGE RUNNER RD
LAS VEGAS, NM 87701-4971
Phone number: 505-617-1180
Mailing Address
DEIDRA MARIE CORDOVA LMSW
624 UNIVERSITY AVE
LAS VEGAS, NM 87701-4278
Phone number: