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1417145491
JEANNETTE MADELENE BACA
SANTA FE, NM
NPI
1417145491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-06515)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
Ms. JEANNETTE MADELENE BACA LISW
1918 HOPEWELL ST UNIT A
SANTA FE, NM 87505-3856
Phone number: 505-992-8900
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Mailing Address
Ms. JEANNETTE MADELENE BACA LISW
PO BOX 6338
SANTA FE, NM 87502-6338
Phone number: 505-992-8900
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