Individual
EDWARD DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
3 APACHE TRL, SANTA FE, NM 87505-1470
(505) 603-1103
(505) 438-6011
Mailing address
3 APACHE TRL, SANTA FE, NM 87505-1470
(505) 603-1103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M10037
NM
1041C0700X
Clinical Social Worker
Primary
C-12082
NM
Other
Enumeration date
08/15/2017
Last updated
10/06/2025
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