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1114240280
VIRGINIA KAY MONGIELLO
TAOS, NM
NPI
1114240280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NM 2923)
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
VIRGINIA KAY MONGIELLO MA, LPAT
112 ALEXANDER ST SUITE B1
TAOS, NM 87571-6841
Phone number: 575-578-8892
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Mailing Address
VIRGINIA KAY MONGIELLO MA, LPAT
PO BOX 1096
EL PRADO, NM 87529-1096
Phone number: 575-758-8892
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