Individual
AVA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524B BISHOPS LODGE RD, SANTA FE, NM 87506-0209
(505) 983-6158
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2025-0526
NM
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/08/2024
Last updated
07/11/2025
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