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Individual

EDGAR ALONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
20 W GUTIERREZ, SANTA FE, NM 87506-0943
(347) 873-8895
Mailing address
PO BOX 601, TESUQUE, NM 87574-0601
(347) 873-8895

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0188
NM

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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