Individual
AARON EDENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
356 OURAY DR, #899, IGNACIO, CO 81137
(970) 563-2370
(970) 563-0206
Mailing address
509 MCDONALD RD, FARMINGTON, NM 87401-3583
(405) 308-2149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-16176
MT
Other
Enumeration date
12/30/2015
Last updated
05/25/2021
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