MATTHEW SHANCE ALVARADO

PORTALES, NM
NPI1194912675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  T - 0102691)
Enumeration Date2007-09-28
Last Update Date2007-09-28
Business Address
-- MATTHEW SHANCE ALVARADO
1111 W FIR ST
PORTALES, NM 88130-5826
Phone number: 505-356-5221
Mailing Address
-- MATTHEW SHANCE ALVARADO
1111 W FIR ST
PORTALES, NM 88130-5826
Phone number: 505-356-5221
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