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1124456298
ELAINE LAITY
RIO RANCHO, NM
NPI
1124456298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0311)
Enumeration Date
2013-10-28
Last Update Date
2013-10-28
Business Address
-- ELAINE LAITY LPC, MA
4212 MONTREAL LOOP NE
RIO RANCHO, NM 87144-8452
Phone number: 505-867-3470
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Mailing Address
-- ELAINE LAITY LPC, MA
4212 MONTREAL LOOP NE
RIO RANCHO, NM 87144-8452
Phone number: 505-867-3470
Copy
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