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1669792008
JANICE L CHUA
TAOS, NM
NPI
1669792008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NM 0146101)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-06-08
Last Update Date
2012-01-17
Business Address
-- JANICE L CHUA
1509 PASEO DEL PUEBLO SUR
TAOS, NM 87571-5922
Phone number: 575-758-7263
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Mailing Address
-- JANICE L CHUA
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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