THEDRA LUANN MARTINEZ

TAOS, NM
NPI1568551679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0071201)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- THEDRA LUANN MARTINEZ
314 DON FERNANDO ST
TAOS, NM 87571
Phone number: 505-747-1991
Mailing Address
-- THEDRA LUANN MARTINEZ
314 DON FERNANDO ST
TAOS, NM 87571
Phone number:
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