Individual
MRS. LISA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 SAN PEDRO DRIVE SE, ALBUQUERQUE, NM 87108
(505) 620-9686
Mailing address
1380 RIO RANCHO BLVD SE # 441, RIO RANCHO, NM 87124-1006
(505) 620-9686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149022501
IL
1041C0700X
Clinical Social Worker
254886
KY
1041C0700X
Clinical Social Worker
Primary
C-08302
NM
Other
Enumeration date
12/11/2014
Last updated
06/14/2023
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