Individual
CHARLENE ANALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(575) 322-8263
Mailing address
PO BOX 27258, ALBUQUERQUE, NM 87125-7258
(505) 242-4399
(505) 944-7840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-11679
NM
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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