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1124187075
MARYTHELMA BRAINARD
ALBUQUERQUE, NM
NPI
1124187075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: NM 369)
Enumeration Date
2006-12-07
Last Update Date
2007-07-08
Business Address
Ms. MARYTHELMA BRAINARD Ph.D.
2128 SILVER AVE SE
ALBUQUERQUE, NM 87106-4010
Phone number: 505-242-7671
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Mailing Address
Ms. MARYTHELMA BRAINARD Ph.D.
3117 10TH ST NW
ALBUQUERQUE, NM 87107-1114
Phone number: 505-242-7671
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