MICHAEL EUGENE SMALL

ALBUQUERQUE, NM
NPI1073242889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CTB-2022-0902)
Enumeration Date2022-06-07
Last Update Date2024-12-18
Business Address
MICHAEL EUGENE SMALL
3150 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110-1678
Phone number: 505-638-8178
Mailing Address
MICHAEL EUGENE SMALL
3150 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110-1678
Phone number: 505-638-8178
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