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1124009295
JUSTIN R PRICE
ALBUQUERQUE, NM
NPI
1124009295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM I-4437)
Enumeration Date
2005-11-07
Last Update Date
2010-05-11
Business Address
-- JUSTIN R PRICE LISW
5100 2ND ST NW
ALBUQUERQUE, NM 87107-4009
Phone number: 505-269-4941
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Mailing Address
-- JUSTIN R PRICE LISW
1509 DARTMOUTH DR NE
ALBUQUERQUE, NM 87106-1818
Phone number: 505-255-7507
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