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1417385337
PENELOPE KATHLEEN PRATT
FARMINGTON, NM
NPI
1417385337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM 2023-0884)
Enumeration Date
2013-10-31
Last Update Date
2023-10-12
Business Address
PENELOPE KATHLEEN PRATT
3501 E MAIN ST
FARMINGTON, NM 87402-5153
Phone number: 505-258-4457
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Mailing Address
PENELOPE KATHLEEN PRATT
3501 E MAIN ST
FARMINGTON, NM 87402-5153
Phone number: 506-258-4457
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