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1174205777
SACRED SPACE THERAPY LLC
ALBUQUERQUE, NM
NPI
1174205777
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Entity Type
Organization
Authorized Contact
GLORIA J BLEA JOHNSON
Owner
505-259-1737
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-08-02
Last Update Date
2024-04-20
Business Address
SACRED SPACE THERAPY LLC
2445 IRIS RD NW
ALBUQUERQUE, NM 87104-3008
Phone number: 505-259-1737
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Mailing Address
SACRED SPACE THERAPY LLC
PO BOX 70112
ALBUQUERQUE, NM 87197-0112
Phone number: 505-259-1737
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