MARVIN ALLEN

LAS CRUCES, NM
NPI1164756219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-09-22
Last Update Date2009-09-22
Business Address
-- MARVIN ALLEN LADAC
1501 N SOLANO DR
LAS CRUCES, NM 88001-1845
Phone number: 575-524-4144
Mailing Address
-- MARVIN ALLEN LADAC
1501 N SOLANO DR
LAS CRUCES, NM 88001-1845
Phone number: 575-524-4144
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