Organization
ANNA RIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA RIDER LCSW (LCSW)
(505) 690-8618
Entity
Organization
Contact information
Practice address
1421 LUISA ST STE O, SANTA FE, NM 87505-4073
(505) 690-8618
Mailing address
1421 LUISA ST STE O, SANTA FE, NM 87505-4073
(505) 690-8618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/28/2022
Last updated
06/20/2022
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