Individual
MRS. SHARDAI LENAE JRIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 W BROADWAY # D&E, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0337
NM
104100000X
Social Worker
Primary
SWB-2026-0401
NM
Other
Enumeration date
05/01/2023
Last updated
04/06/2026
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