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1295235836
THERESA DEC ROACH
SANTA FE, NM
NPI
1295235836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
THERESA DEC ROACH MS, NCC
4001 OFFICE COURT DR
SANTA FE, NM 87507-4929
Phone number: 602-316-6058
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Mailing Address
THERESA DEC ROACH MS, NCC
3201 ZAFARANO DR STE C #232
SANTA FE, NM 87507
Phone number: 602-316-6058
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