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1669877585
CHERYL LYNN LICHTY
LAS CRUCES, NM
NPI
1669877585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM LADAC 0167681)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- CHERYL LYNN LICHTY LADAC 0167681
715 E IDAHO AVE STE 4B
LAS CRUCES, NM 88001-4703
Phone number: 575-524-2505
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Mailing Address
-- CHERYL LYNN LICHTY LADAC 0167681
PO BOX 1078
LAS CRUCES, NM 88004-1078
Phone number: 575-524-2505
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