AMANDA A DIAZ

SANTA TERESA, NM
NPI1548525025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0150901)
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
-- AMANDA A DIAZ
5305 MCNUTT RD
SANTA TERESA, NM 88008-9685
Phone number: 575-882-5100
Mailing Address
-- AMANDA A DIAZ
1219 BARRANCA DR
EL PASO, TX 79935-4601
Phone number: 915-779-5600
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