Individual
MS. MARY ANNE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1418 LUISA ST, SUITE 5A, SANTA FE, NM 87505-4091
(505) 795-6868
Mailing address
5 TAOS TRL N, CORRALES, NM 87048-9660
(505) 670-7312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004136
GA
1041C0700X
Clinical Social Worker
Primary
C-09378
NM
1041C0700X
Clinical Social Worker
SW11166
FL
Other
Enumeration date
07/28/2009
Last updated
09/18/2023
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