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1306176219
DANIEL MCMAHON EDGERTON
SANTA FE, NM
NPI
1306176219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-07222)
Enumeration Date
2009-12-29
Last Update Date
2009-12-29
Business Address
Mr. DANIEL MCMAHON EDGERTON LISW
122 A SIERRA AZUL
SANTA FE, NM 87507
Phone number: 505-629-1887
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Mailing Address
Mr. DANIEL MCMAHON EDGERTON LISW
PO BOX 5161
SANTA FE, NM 87502-5161
Phone number: 303-981-1411
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