Individual
MR. DANIEL MCMAHON EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
122 A SIERRA AZUL, SANTA FE, NM 87507
(505) 629-1887
Mailing address
PO BOX 5161, SANTA FE, NM 87502-5161
(303) 981-1411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07222
NM
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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