Individual
ANNE LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Mailing address
1305 BLAKE RD SW, ALBUQUERQUE, NM 87105-4779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08550
NM
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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