MS. Jessica Ayesha Rodrigues Sundram
MS. Jessica Ayesha Rodrigues Sundram is a Clinical Social Worker in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2010
Practice location Address checks out
200 Rosemont Ave NE Apt CAlbuquerque, NM 87102-1599
Phone: (505) 750-3605
Fax: (505) 340-3941
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence C-09020 (NM) |
|---|
Record details
| NPI number | 1841505138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2010 |
| Last updated in NPPES | July 20, 2021 |
| Certification date | July 20, 2021 |
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