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1508232380
DAVID NICLAS
ALBUQUERQUE, NM
NPI
1508232380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-0174521)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
-- DAVID NICLAS LMHC
6611 GULTON CT NE
ALBUQUERQUE, NM 87109-4407
Phone number: 505-296-3965
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Mailing Address
-- DAVID NICLAS LMHC
1773 AVENIDA BONITA NW
LOS LUNAS, NM 87031-8369
Phone number: 505-340-8324
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