THERESA J. PAUL

SHIPROCK, NM
NPI1356874267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0178601)
Enumeration Date2017-04-07
Last Update Date2019-07-09
Business Address
THERESA J. PAUL LADAC
HWY 491 N. PINON ST.
SHIPROCK, NM 87420-1830
Phone number: 505-368-1438
Mailing Address
THERESA J. PAUL LADAC
PO BOX 1830
SHIPROCK, NM 87420-1830
Phone number: 505-368-1438
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