MAVIS SMITH

CROWNPOINT, NM
NPI1649044710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CCMH02077711)
Enumeration Date2023-11-09
Last Update Date2023-11-09
Business Address
MAVIS SMITH
RT 9 HWY 371 SUITE 2
CROWNPOINT, NM 87313
Phone number: 505-786-2333
Mailing Address
MAVIS SMITH
P.O. BOX 1501
GALLUP, NM 87305
Phone number: 505-870-1347