NPI 1174856264

Laura E Edimo, LMSW

Practitioner Social Worker Moriarty, NM

Practice location

Address: 200 Center Ave, Moriarty, NM 87035
Phone: (505) 832-5817
Fax: (505) 328-1354
Mailing address: P.O. Box 2000 200 Center Ave, Moriarty, NM 87035

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence X-07066 (NM)

Other Social Worker providers in New Mexico →

Registry record

NPI: 1174856264
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Sep 2009
Record last updated: 28 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.