Organization
ANN FLOSDORF PSYCHOTHERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA FLORES (CREDENTIALING)
(575) 639-1534
Entity
Organization
Contact information
Practice address
9301 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87112-2884
(585) 329-6205
Mailing address
6001 MOON ST NE APT 1523, ALBUQUERQUE, NM 87111-1453
(585) 329-6205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54130336
—
NM
Enumeration date
06/25/2021
Last updated
06/25/2021
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