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1336473149
JACK S SIAMU
ALBUQUERQUE, NM
NPI
1336473149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 1770)
Enumeration Date
2009-09-25
Last Update Date
2009-09-25
Business Address
Mr. JACK S SIAMU MS LPC
6301 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-2036
Phone number: 505-352-3441
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Mailing Address
Mr. JACK S SIAMU MS LPC
6301 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-2036
Phone number: 505-352-3441
Copy
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