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1417189887
JACQUELYN SPEAKE
FARMINGTON, NM
NPI
1417189887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM 0123811)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
JACQUELYN SPEAKE LPCC
114 N BEHREND AVE
FARMINGTON, NM 87401-8414
Phone number: 505-326-2736
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Mailing Address
JACQUELYN SPEAKE LPCC
114 N BEHREND AVE
FARMINGTON, NM 87401-8414
Phone number: 505-326-2736
Copy
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