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Individual

EDWARD VINCENT DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.S.S.A.

Contact information

Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87125-0445
(505) 344-6738
(505) 344-1862
Mailing address
1405 SAN CARLOS RD SW APT 11, ALBUQUERQUE, NM 87104-1060
(505) 344-6738
(505) 344-1862

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0084341
NM

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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