Individual
ANNALEE MUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
225 E IDAHO AVE STE 3, LAS CRUCES, NM 88005-3241
(575) 571-4390
Mailing address
412 CONWAY AVE, LAS CRUCES, NM 88005-7712
(575) 993-4544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0520
NM
Other
Enumeration date
07/31/2024
Last updated
08/01/2024
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