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1568991453
MOSSY PINE THERAPY LLC
LAS VEGAS, NM
NPI
1568991453
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Entity Type
Organization
Authorized Contact
FELICIA RIVERA
Director
505-429-7502
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
MOSSY PINE THERAPY LLC
HC 80 BOX 246
LAS VEGAS, NM 87701-9571
Phone number: 505-429-7502
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Mailing Address
MOSSY PINE THERAPY LLC
HC 80 BOX 246
LAS VEGAS, NM 87701-9571
Phone number:
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