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Individual

ELIZABETH ANN BEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1719 SANTA FE RIVER RD, SANTA FE, NM 87501-2368
(505) 660-1331
Mailing address
1719 SANTA FE RIVER RD, SANTA FE, NM 87501-2368
(505) 660-1331

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
107
HI
106H00000X
Marriage & Family Therapist
Primary
3022
NM

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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