Individual
MS. ANN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LCSW
Contact information
Practice address
660 SUPERSTITION DR SE, RIO RANCHO, NM 87124-7292
(505) 227-0134
Mailing address
660 SUPERSTITION DR SE, RIO RANCHO, NM 87124-7292
(505) 227-0134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08249
NM
1041C0700X
Clinical Social Worker
LCSW-12358
AZ
Other
Enumeration date
02/18/2008
Last updated
03/02/2013
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