Individual
EDITH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 N POPE ST, SILVER CITY, NM 88061-5161
(575) 388-1511
(575) 313-8236
Mailing address
530 DEMOSS ST., LORDSBURG, NM 88045-2618
(575) 542-2307
(575) 313-8236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09729
NM
Other
Enumeration date
10/19/2016
Last updated
11/29/2016
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