Individual
DAVID JASON HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
925 CANNERY CT, FARMINGTON, NM 87401-4058
(505) 327-6123
Mailing address
309 N BUENA VISTA AVE, FARMINGTON, NM 87401-6927
(505) 325-1877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-06546
NM
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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