Individual
MS. ANNE ELIZABETH VAN AUSDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
301 W COLLEGE AVE, SUITE 7, SILVER CITY, NM 88061-5002
(575) 388-1880
(575) 388-2284
Mailing address
301 W COLLEGE AVE, SUITE 7, SILVER CITY, NM 88061-5002
(575) 388-1880
(575) 388-2284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3743
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B6155
—
NM
Enumeration date
06/06/2006
Last updated
03/30/2010
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