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1639254154
LISA DIAN WOOLDRIDGE
SANTA FE, NM
NPI
1639254154
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Former Name
LISA DIAN WARE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM 0065012)
Enumeration Date
2006-10-25
Last Update Date
2018-03-17
Business Address
LISA DIAN WOOLDRIDGE LPCC
411 SAINT MICHAELS DR STE 2
SANTA FE, NM 87505-7655
Phone number: 505-690-8322
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Mailing Address
LISA DIAN WOOLDRIDGE LPCC
411 SAINT MICHAELS DR STE 2
SANTA FE, NM 87505-7655
Phone number: 505-690-8322
Copy
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