Individual
EVELYN Y ANDERSON-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 993-5225
(575) 652-4163
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 993-5225
(575) 652-4163
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-07269
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31306560
—
NM
Enumeration date
09/11/2011
Last updated
04/21/2017
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