Individual
JUDY FAY MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5470
Mailing address
59 WINDING RD, SANTA FE, NM 87505-1447
(505) 983-6735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
#I-4528
NM
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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