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1114637048
MALACHI KING
LAS CRUCES, NM
NPI
1114637048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2022-0702)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
MALACHI KING LSAA,CPSW
7384 VISTA DE SOBRE DR
LAS CRUCES, NM 88012-0773
Phone number: 575-202-6134
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Mailing Address
MALACHI KING LSAA,CPSW
7384 VISTA DE SOBRE DR
LAS CRUCES, NM 88012-0773
Phone number: 575-202-6134
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