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1346378437
THERESA ANNE ONTIVEROS
LAS CRUCES, NM
NPI
1346378437
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Former Name
THERESA ANNE REIMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C07151)
Enumeration Date
2007-03-01
Last Update Date
2019-04-08
Business Address
Mrs. THERESA ANNE ONTIVEROS LCSW, RPT
3100 OAK ST
LAS CRUCES, NM 88005-3425
Phone number: 575-644-9861
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Mailing Address
Mrs. THERESA ANNE ONTIVEROS LCSW, RPT
PO BOX 405
SAN MIGUEL, NM 88058-0405
Phone number: 575-644-9861
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