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1639419716
TIMOTHY G. ALLEN
ALBUQUERQUE, NM
NPI
1639419716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0143421)
Enumeration Date
2013-02-26
Last Update Date
2013-02-26
Business Address
-- TIMOTHY G. ALLEN LADAC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-841-8978
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Mailing Address
-- TIMOTHY G. ALLEN LADAC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-841-8978
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