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1225040777
JESSICA ERIN WALLACE WOODARD
ALBUQUERQUE, NM
NPI
1225040777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0158)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
-- JESSICA ERIN WALLACE WOODARD LPCC, CEAP
4207 SAN ISIDRO ST NW
ALBUQUERQUE, NM 87107-2829
Phone number: 505-249-8174
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Mailing Address
-- JESSICA ERIN WALLACE WOODARD LPCC, CEAP
416 CAMINO DEL BOSQUE NW
ALBUQUERQUE, NM 87114-2302
Phone number: 505-249-8174
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