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Individual

JENNIFER DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
(505) 994-0000
Mailing address
1817 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 842-9911

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06987
NM
1041C0700X
Clinical Social Worker
Primary
C-08551
NM

Other

Enumeration date
08/04/2010
Last updated
03/17/2018
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