Individual
JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13 E OLD AGUA FRIA RD, SANTA FE, NM 87508-5970
(505) 988-1169
Mailing address
756 BACA ST, SANTA FE, NM 87505-0975
(505) 670-1844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-07029
NM
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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