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1235747908
SUSAN GAYLE HAKEEM
ALBUQUERQUE, NM
NPI
1235747908
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Former Name
SUSAN GAYLE DAWSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-CTL0212111)
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
Mrs. SUSAN GAYLE HAKEEM LMHC-t
9628 PROSPECT AVE NE
ALBUQUERQUE, NM 87112-2933
Phone number: 512-947-1469
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Mailing Address
Mrs. SUSAN GAYLE HAKEEM LMHC-t
9628 PROSPECT AVE NE
ALBUQUERQUE, NM 87112-2933
Phone number: 512-947-1469
Copy
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