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1497962294
TENELLE MARIE PHILLIPS
RATON, NM
NPI
1497962294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I06227)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mrs. TENELLE MARIE PHILLIPS LISW
705 S 5TH ST
RATON, NM 87740-4128
Phone number: 505-445-8568
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Mailing Address
Mrs. TENELLE MARIE PHILLIPS LISW
705 S 5TH ST
RATON, NM 87740-4128
Phone number: 505-445-8568
Copy
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