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Individual

DR. ANNE ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
11005 SPAIN RD NE, ALBUQUERQUE, NM 87111-1899
(505) 843-8450
Mailing address
11005 SPAIN RD NE, ALBUQUERQUE, NM 87111-1899
(505) 843-8450

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
269
NM
103TB0200X
Cognitive & Behavioral Psychologist
269
NM
103TC0700X
Clinical Psychologist
Primary
269
NM

Other

Enumeration date
11/06/2006
Last updated
06/04/2014
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