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1639703689
RENITA T ANDERSON
FARMINGTON, NM
NPI
1639703689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM 3900)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
MRS. RENITA T ANDERSON LADAC
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
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Mailing Address
MRS. RENITA T ANDERSON LADAC
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
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