Individual
MS. ANNA E EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1330 LOMAS BLVD NW, ALBUQUERQUE, NM 87104-1234
(505) 974-6706
Mailing address
1330 LOMAS BLVD NW, ALBUQUERQUE, NM 87104-1234
(505) 600-1819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M 5462
NM
1041C0700X
Clinical Social Worker
Primary
I-06714
NM
1041S0200X
School Social Worker
M 5462
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1753746
—
NM
Enumeration date
03/01/2007
Last updated
12/27/2016
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