Individual
EDMUNDO E APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
504 10TH AVE NE, RIO RANCHO, NM 87144-4135
(505) 385-7947
Mailing address
504 10TH AVE NE, RIO RANCHO, NM 87144-4135
(505) 385-7947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05931
NM
Other
Enumeration date
09/28/2006
Last updated
05/04/2015
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