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1104851534
JILL M TIEDEMANN
SANTA FE, NM
NPI
1104851534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T3476)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- JILL M TIEDEMANN LPCC
1601A SAINT MICHAELS DR
SANTA FE, NM 87505-7614
Phone number: 505-954-8777
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Mailing Address
-- JILL M TIEDEMANN LPCC
1601A SAINT MICHAELS DR
SANTA FE, NM 87505-7614
Phone number: 505-954-8777
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