Individual
COLLEEN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PASEO DE LA CUMA, SANTA FE, NM 87501-1213
(505) 603-8543
Mailing address
105 PASEO DE LA CUMA, SANTA FE, NM 87501-1213
(505) 603-8543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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