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1366286239
ALI SCOTT MOGHADAM
ALBUQUERQUE, NM
NPI
1366286239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM CTB-2023-1041)
Enumeration Date
2024-06-24
Last Update Date
2024-07-03
Business Address
MR. ALI SCOTT MOGHADAM
8205 SPAIN RD NE STE 106
ALBUQUERQUE, NM 87109-3155
Phone number: 505-856-0300
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Mailing Address
MR. ALI SCOTT MOGHADAM
2519 FLOR SILVESTRE NW
ALBUQUERQUE, NM 87120-1354
Phone number: 505-584-6652
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