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1336611623
AMANDA CAROLINE ELLIOTT
SILVER CITY, NM
NPI
1336611623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM CSA0201351)
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
AMANDA CAROLINE ELLIOTT LSAA
214 W BROADWAY ST
SILVER CITY, NM 88061-5353
Phone number: 575-654-5568
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Mailing Address
AMANDA CAROLINE ELLIOTT LSAA
PO BOX 1477
BAYARD, NM 88023-1477
Phone number: 575-654-5568
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