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1639505548
STEPHEN LAWRENCE FORTESS
ALBUQUERQUE, NM
NPI
1639505548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0931)
Enumeration Date
2013-09-24
Last Update Date
2013-09-24
Business Address
Mr. STEPHEN LAWRENCE FORTESS LPCC
6301 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-2036
Phone number: 505-352-3417
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Mailing Address
Mr. STEPHEN LAWRENCE FORTESS LPCC
6301 CENTRAL NW
ALBUQUERQUE, NM 87105
Phone number: 505-352-3417
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