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1245254275
CHARLA ELLIOTT THOMAS
SANTA FE, NM
NPI
1245254275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-4032)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Ms. CHARLA ELLIOTT THOMAS LISW
820 PASEO DE PERALTA
SANTA FE, NM 87501-2233
Phone number: 505-986-9633
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Mailing Address
Ms. CHARLA ELLIOTT THOMAS LISW
2000 CALLE LEJANO
SANTA FE, NM 87501-8910
Phone number: 505-995-8894
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