Individual
MONIQUE JUDY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 LUNA AVE SE, LOS LUNAS, NM 87031-6814
(505) 866-9636
Mailing address
119 LUNA STREET, LOS LUNAS, NM 87031
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-11217
NM
Other
Enumeration date
02/15/2022
Last updated
06/10/2025
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