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Individual

SONYA SILVA-BACA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SW

Contact information

Practice address
213 PASEO DEL CANON E, TAOS, NM 87571-6239
(575) 757-8000
Mailing address
410 DE VARGAS, RANCHOS DE TAOS, NM 87529
(575) 758-5292
(575) 758-5298

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M0859
NM

Other

Enumeration date
12/10/2008
Last updated
12/10/2008
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