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1699300707
EYA SOFIA VAN TASSLE
ALBUQUERQUE, NM
NPI
1699300707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM X-11270)
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
Mrs. EYA SOFIA VAN TASSLE LMSW
1010 LAS LOMAS RD NE
ALBUQUERQUE, NM 87102-2634
Phone number: 505-600-1499
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Mailing Address
Mrs. EYA SOFIA VAN TASSLE LMSW
PO BOX 367
TIJERAS, NM 87059-0367
Phone number: 505-660-9185
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