Individual
MISS ANITA LYNN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7001 CHAYOTE RD NE, RIO RANCHO, NM 87144-6211
(505) 771-2366
(505) 771-2369
Mailing address
9605 ROSAS AVE NE, ALBUQUERQUE, NM 87109-6607
(505) 410-7087
(505) 771-2369
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-06842
NM
1041S0200X
School Social Worker
Primary
329990
NM
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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