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Individual

MS. GENEVIEVE ANNA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHC, MFT

Contact information

Practice address
11 CALLE MEDICO STE 5, SANTA FE, NM 87505-4705
(505) 983-7105
(505) 473-0818
Mailing address
PO BOX 5132, SANTA FE, NM 87502-5132
(505) 983-7105
(505) 473-0818

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0020
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28971884
NM
Enumeration date
09/09/2005
Last updated
01/17/2024
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