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Organization

COMPLETELY YOU WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER DAVIS LCSW (OWNER)
(505) 220-1330
Entity
Organization

Contact information

Practice address
2837 PALOMAS DR NE, ALBUQUERQUE, NM 87110-3121
(505) 220-1331
(505) 554-3435
Mailing address
3167 SAN MATEO BLVD NE # 249, ALBUQUERQUE, NM 87110-1921
(505) 220-1330
(505) 554-3435

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
69206137
NM
Enumeration date
11/02/2021
Last updated
11/02/2021
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