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1417275397
IRENE MARIE TRIVIZ
ALBUQUERQUE, NM
NPI
1417275397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-0126211)
Enumeration Date
2010-05-17
Last Update Date
2010-05-17
Business Address
Mrs. IRENE MARIE TRIVIZ
2601 WYOMING BLVD NE STE. 101
ALBUQUERQUE, NM 87112-1035
Phone number: 505-404-0717
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Mailing Address
Mrs. IRENE MARIE TRIVIZ
9112 SABINAL DR NW
ALBUQUERQUE, NM 87114-4569
Phone number: 719-494-6757
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