CORINE JOHN-DODGE

FARMINGTON, NM
NPI1164923280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM  0156181)
Enumeration Date2018-02-23
Last Update Date2018-02-23
Business Address
CORINE JOHN-DODGE LSAA
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
Mailing Address
CORINE JOHN-DODGE LSAA
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
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