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Individual

MONIQUE SISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
U

Contact information

Practice address
2055 S PACHECO ST STE 500, SANTA FE, NM 87505-3994
(505) 702-8112
(505) 355-2611
Mailing address
2055 S PACHECO ST STE 500, SANTA FE, NM 87505-3994
(505) 702-8112
(505) 355-2611

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0895
NM

Other

Enumeration date
08/16/2024
Last updated
08/30/2024
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