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1194565481
LOU PACKER
ALBUQUERQUE, NM
NPI
1194565481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2024-0288)
Enumeration Date
2024-05-25
Last Update Date
2024-05-28
Business Address
LOU PACKER LSAA
2131 LEAD AVE SE
ALBUQUERQUE, NM 87106-4007
Phone number: 505-895-0147
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Mailing Address
LOU PACKER LSAA
2824 WASHINGTON ST NE
ALBUQUERQUE, NM 87110-2930
Phone number: 505-492-8440
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