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1447349139
ROBERT MAXWELL
ALBUQUERQUE, NM
NPI
1447349139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM LSAA #6022)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- ROBERT MAXWELL LSAA
5016 LA BAJADA RD NW
ALBUQUERQUE, NM 87105-1560
Phone number: 505-344-6738
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Mailing Address
-- ROBERT MAXWELL LSAA
5016 LA BAJADA RD NW
ALBUQUERQUE, NM 87105-1560
Phone number: 505-831-9148
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