Individual
TANIA L GOLDFEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
NEW MEXICO SOLUTIONS, 707 BROADWAY NE SUITE 500, ALBUQUERQUE, NM 87102
(505) 268-0701
Mailing address
PO BOX 1637, OWENSBORO, KY 42302-1637
(270) 689-6500
(270) 689-6677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10462
NM
104100000X
Social Worker
M-10462
NM
1041C0700X
Clinical Social Worker
Primary
C-11554
NM
Other
Enumeration date
09/26/2018
Last updated
02/01/2021
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