RICHARD SPAS

TAOS, NM
NPI1629356381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM  0124851)
Enumeration Date2011-07-29
Last Update Date2011-07-29
Business Address
RICHARD SPAS LSAA
413 SIPAPU ST
TAOS, NM 87571-6489
Phone number: 575-758-5857
Mailing Address
RICHARD SPAS LSAA
413 SIPAPU ST
TAOS, NM 87571-6489
Phone number: 575-758-5857
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