Individual
CHLOE DENISE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6612 GULTON CT NE STE B, ALBUQUERQUE, NM 87109-4407
(505) 918-8880
(505) 521-5165
Mailing address
6612 GULTON CT NE STE B, ALBUQUERQUE, NM 87109-4407
(505) 918-8880
(505) 521-5165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-07322
NM
1041C0700X
Clinical Social Worker
Primary
C-08255
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99889579
—
NM
Enumeration date
01/21/2009
Last updated
09/04/2024
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