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Individual

MR. ED CARDENAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LISW, CAC

Contact information

Practice address
HC 74 BOX 22025, EL PRADO, NM 87529-9544
(575) 751-7486
(575) 751-7486
Mailing address
HC 74 BOX 22025, EL PRADO, NM 87529-9544
(575) 751-7486
(575) 751-7486

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-0873
NM

Other

Enumeration date
10/02/2009
Last updated
10/02/2009
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