Individual
AMARIS B FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
214 W BROADWAY ST, SILVER CITY, NM 88061-5353
(575) 654-2919
(575) 342-5081
Mailing address
PO BOX 234, SANTA CLARA, NM 88026-0234
(575) 654-5995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-10897
NM
Other
Enumeration date
12/04/2018
Last updated
01/31/2019
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