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1386879187
ELLYN F THOMPSON
LOS LUNAS, NM
NPI
1386879187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0088751)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
Mrs. ELLYN F THOMPSON LADAC
79 CIELO AZUL RD
LOS LUNAS, NM 87031-7240
Phone number: 505-866-5439
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Mailing Address
Mrs. ELLYN F THOMPSON LADAC
79 CIELO AZUL RD
LOS LUNAS, NM 87031-7240
Phone number: 505-866-5439
Copy
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