Individual
MONICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 876-1890
Mailing address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 876-1890
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09572
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-1149
NM
Other
Enumeration date
08/15/2016
Last updated
11/08/2024
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