Individual
WALIK EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LMSW
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-07887
NM
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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