Individual
ANN S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
311 W 2ND ST, ROSWELL, NM 88201-4609
(575) 626-9727
(575) 208-0780
Mailing address
PO BOX 1000, ROSWELL, NM 88202-1000
(575) 626-9727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I3021
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98057
—
NM
Enumeration date
08/31/2006
Last updated
12/16/2025
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