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1669607115
PAMELA L BEVERAGE
ALBUQUERQUE, NM
NPI
1669607115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM 0074101)
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
DR. PAMELA L BEVERAGE ED. D., LPCC
3500 COMANCHE RD NE SUITE 12
ALBUQUERQUE, NM 87107-4546
Phone number: 505-238-3449
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Mailing Address
DR. PAMELA L BEVERAGE ED. D., LPCC
PO BOX 2792
CORRALES, NM 87048-2792
Phone number: 505-238-3449
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