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1003035411
KIM M SERVENT
SANTA FE, NM
NPI
1003035411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-0094661)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- KIM M SERVENT LPCC
1601A SAINT MICHAELS DR
SANTA FE, NM 87505-7614
Phone number: 505-954-8786
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Mailing Address
-- KIM M SERVENT LPCC
452 ACEQUIA MADRE APT 2
SANTA FE, NM 87505-2311
Phone number: 505-989-5012
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