Individual
LINDA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
12200 LOMAS BLVD NE, MANZANO HS, ALBUQUERQUE, NM 87112-5804
(505) 559-2200
Mailing address
12200 LOMAS BLVD NE, MANZANO HS, ALBUQUERQUE, NM 87112-5804
(505) 559-2200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I 6105
NM
1041S0200X
School Social Worker
Primary
I 6105
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27757722
—
NM
Enumeration date
03/02/2007
Last updated
05/02/2013
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