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Individual

MR. DAVID L. SOLEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W

Contact information

Practice address
1107 SANGRE DE CRISTO ST, SANTA FE, NM 87501-1055
(505) 204-6883
(505) 820-9220
Mailing address
1107 SANGRE DE CRISTO ST, SANTA FE, NM 87501-1055
(505) 204-6883
(505) 820-9220

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M-07509
NM
1041C0700X
Clinical Social Worker
Primary
C-08311
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1082637
NM
Enumeration date
12/15/2010
Last updated
05/04/2017
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