Individual
AMY JO DONDANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
224 RANCHITOS RD, TAOS, NM 87571-5935
(575) 224-2710
Mailing address
PO BOX 537, TAOS, NM 87571-0537
(575) 224-2710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10400
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245606649
TYPE 1 NPI
—
Enumeration date
08/19/2015
Last updated
06/24/2025
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