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NPI Code Detail

MEDICARE: ANAMARIA ARMIJO-GLENN LMSW

MEDICARE: ANAMARIA ARMIJO-GLENN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerM-08971NM

General Provider Information

NPI Number : 1659692788
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAMARIA ARMIJO-GLENN LMSW
Provider Business Mailing Address
First Line : 1928 CHURCH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-3724
Country : US
Telephone Number : 505-690-8826
Fax Number : 505-425-9223
Provider Business Practice Location Address
First Line : 2528 RIDGE RUNNER RD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4971
Country : US
Telephone Number : 505-425-2622
Fax Number : 505-425-9223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 07/15/2015

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