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Individual

AUGUST BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Mailing address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0051
NM

Other

Enumeration date
09/05/2017
Last updated
03/26/2025
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