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1588397871
KATHERINE IRENE CONVERY
DEMING, NM
NPI
1588397871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2022-0252)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
KATHERINE IRENE CONVERY LSAA
118 S IRON ST
DEMING, NM 88030-3628
Phone number: 575-694-5478
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Mailing Address
KATHERINE IRENE CONVERY LSAA
118 S IRON ST
DEMING, NM 88030-3628
Phone number: 575-694-5478
Copy
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