Anita Mallory, CSW

NPI #1750925178 in Raton, New Mexico

Provider Information

NPI Number: 1750925178
Entity Type: Individual
Name: Anita Mallory, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: CSW
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 411 S 3RD ST
City: Raton
State: New Mexico
ZIP Code: 87740-4005
Phone: (575) 733-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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