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1528106770
DENISE A MEDINA
LAS VEGAS, NM
NPI
1528106770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 2281)
Enumeration Date
2007-02-01
Last Update Date
2018-07-11
Business Address
Ms. DENISE A MEDINA MA LMHC
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
Phone number: 505-617-0492
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Mailing Address
Ms. DENISE A MEDINA MA LMHC
410 THUNDERBIRD DR
LAS VEGAS, NM 87701-3200
Phone number: 505-425-9779
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