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1316211691
CYNTHIA FULREADER
SANTA FE, NM
NPI
1316211691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM 1808)
Enumeration Date
2012-03-03
Last Update Date
2012-03-03
Business Address
CYNTHIA FULREADER LPC
1919 5TH ST
SANTA FE, NM 87505-5402
Phone number: 505-795-8831
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Mailing Address
CYNTHIA FULREADER LPC
2844 VEREDA DE PUEBLO
SANTA FE, NM 87507-5386
Phone number: 505-473-4420
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