Individual
SARAH GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 ASPEN DR STE 701A, SANTA FE, NM 87505-5470
(207) 227-5811
Mailing address
1601 LA CIENEGUITA APT D5, SANTA FE, NM 87507-5665
(207) 227-5811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAT-005580
NM
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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