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1225791155
SHALAN COSTA
LAS CRUCES, NM
NPI
1225791155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NM CAMF0220641)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
Mrs. SHALAN COSTA
619 N ALAMEDA BLVD
LAS CRUCES, NM 88005-2130
Phone number: 575-405-7146
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Mailing Address
Mrs. SHALAN COSTA
2745 TIERRA GIJON PL
EL PASO, TX 79938-2224
Phone number: 910-703-2900
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