Organization
ANNA E EDER, LISW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA E EDER LISW (OWNER)
(505) 974-6706
Entity
Organization
Contact information
Practice address
9301 INDIAN SCHOOL RD NE, SUITE 103-B, ALBUQUERQUE, NM 87112-2884
(595) 974-6706
Mailing address
6041 SEQUOIA RD NW, #A-5, ALBUQUERQUE, NM 87120-3440
(505) 417-5957
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-06714
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753746
—
NM
01
—
NMB2493
MEDICARE
NM
Enumeration date
04/10/2013
Last updated
04/10/2013
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