Individual
PAMELA BETH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 COLLEGE BLVD, FARMINGTON, NM 87402-1773
(505) 599-8880
(855) 648-0620
Mailing address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-05760
NM
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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