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1588939763
JUDITH L KERENS
SILVER CITY, NM
NPI
1588939763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM 0143351)
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
JUDITH L KERENS LADAC
1720 E 32ND ST
SILVER CITY, NM 88061-8304
Phone number: 575-388-2693
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Mailing Address
JUDITH L KERENS LADAC
PO BOX 1349
SILVER CITY, NM 88062-1349
Phone number: 575-388-4497
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