Individual
MS. ANNA MARIE P. LOUGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5712 OSUNA RD NE STE 6, ALBUQUERQUE, NM 87109-2576
(505) 250-6211
(505) 857-0329
Mailing address
5800 CANYON VISTA DR NE, ALBUQUERQUE, NM 87111-6616
(505) 250-6211
(505) 857-0329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81128746
—
NM
Enumeration date
09/14/2006
Last updated
07/09/2007
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