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1104008028
DIANA BACA MARTINEZ
ALBUQUERQUE, NM
NPI
1104008028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0079311)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
Ms. DIANA BACA MARTINEZ LMHC
1101 LOPEZ RD SW
ALBUQUERQUE, NM 87105-3954
Phone number: 505-877-7060
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Mailing Address
Ms. DIANA BACA MARTINEZ LMHC
1101 LOPEZ RD SW
ALBUQUERQUE, NM 87105-3954
Phone number: 505-877-7060
Copy
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