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1073706768
LISA CLUGSTON
CORRALES, NM
NPI
1073706768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM 0142491)
Enumeration Date
2007-08-25
Last Update Date
2012-03-08
Business Address
-- LISA CLUGSTON LPCC
4686 CORRALES RD STE 4E
CORRALES, NM 87048-8658
Phone number: 505-238-6420
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Mailing Address
-- LISA CLUGSTON LPCC
66 GRIEGO CT
CORRALES, NM 87048-6500
Phone number: 505-238-6420
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