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1942929245
AGAVE PSYCHOTHERAPY LLC
SANTA FE, NM
NPI
1942929245
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Entity Type
Organization
Authorized Contact
ELIZABETH COLSON
Owner
505-421-5325
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
AGAVE PSYCHOTHERAPY LLC
7 AVENIDA VISTA GRANDE
SANTA FE, NM 87508-9198
Phone number: 505-421-5325
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Mailing Address
AGAVE PSYCHOTHERAPY LLC
7 AVENIDA VISTA GRANDE
SANTA FE, NM 87508-9198
Phone number:
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