Individual
EDNA ALICIA TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2487 CARRINGTON ROAD, FORT BLISS, TX 79906
(915) 742-1615
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-1615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39124
TX
Other
Enumeration date
04/21/2015
Last updated
10/15/2024
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