Individual
ANNAI BURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4117 CHAPARRON PL, SANTA FE, NM 87507-2770
(505) 570-0940
Mailing address
4117 CHAPARRON PL, SANTA FE, NM 87507-2770
(505) 570-0940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-1127
NM
Other
Enumeration date
11/23/2021
Last updated
07/26/2024
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