Individual
MS. CEDAR R KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1012 MARQUEZ PL, 211A, SANTA FE, NM 87505-1834
(505) 474-4480
(505) 982-2196
Mailing address
1012 MARQUEZ PL, 211A, SANTA FE, NM 87505-1834
(505) 474-4480
(505) 982-2196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3925
NM
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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