AMANDA CLEARWATER

FARMINGTON, NM
NPI1417313578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM  0178391)
Enumeration Date2016-01-05
Last Update Date2024-05-01
Business Address
AMANDA CLEARWATER LADAC
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-443-4083
Mailing Address
AMANDA CLEARWATER LADAC
663 HAMPTON CANYON RD
AZTEC, NM 87410-1007
Phone number: 505-217-6834
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