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1669087417
TIMOTHY HUGH SCANNELL
RIO RANCHO, NM
NPI
1669087417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM X-11654)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
Mr. TIMOTHY HUGH SCANNELL
500 UNSER BLVD SE STE 103
RIO RANCHO, NM 87124-4660
Phone number: 505-404-0554
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Mailing Address
Mr. TIMOTHY HUGH SCANNELL
9805 SAN GABRIEL RD NE
ALBUQUERQUE, NM 87111-3530
Phone number: 505-280-5753
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