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1235210543
MELISSA L FAGAN
ALBUQUERQUE, NM
NPI
1235210543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM 0184771)
Enumeration Date
2006-10-17
Last Update Date
2017-04-21
Business Address
-- MELISSA L FAGAN LMHC
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110-1448
Phone number: 505-888-1686
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Mailing Address
-- MELISSA L FAGAN LMHC
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110-1448
Phone number: 505-888-1686
Copy
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