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1326579665
VIRGINIA ESTALA
ANTHONY, NM
NPI
1326579665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NM CTL0199201)
Enumeration Date
2017-03-27
Last Update Date
2019-02-28
Business Address
VIRGINIA ESTALA MA, LAMFT
785 ANTHONY DRIVE
ANTHONY, NM 88021-2671
Phone number: 575-882-5100
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Mailing Address
VIRGINIA ESTALA MA, LAMFT
PO BOX 2671
ANTHONY, NM 88021-2671
Phone number: 575-882-5100
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