Miah Selena Eidenschink, LCSW
NPI #1720727662 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1720727662
- Entity Type
- Individual
- Name
- Miah Selena Eidenschink, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 31, 2022
- Last Updated
- Aug 3, 2025
Practice Location
- Address
- 224 W D. L. INGRAM AVENUE
- Address 2
- BLDG. 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103-5014
- Phone
- (575) 904-3911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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