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1265601652
KRISTENE C. SHERYL
LORDSBURG, NM
NPI
1265601652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0110461)
Enumeration Date
2008-02-29
Last Update Date
2014-03-29
Business Address
-- KRISTENE C. SHERYL LADAC
332 E. MOTEL DRIVE
LORDSBURG, NM 88045
Phone number: 575-542-3304
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Mailing Address
-- KRISTENE C. SHERYL LADAC
1320 S. SOLANO
LAS CRUCES, NM 88001
Phone number: 575-527-7900
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