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1720367105
SOUTHWEST CARES CA LLC
SANTA FE, NM
NPI
1720367105
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Entity Type
Organization
Authorized Contact
CARMINE MAROTTA
Director
505-982-3113
Organization Subpart ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
SOUTHWEST CARES CA LLC
552 AGUA FRIA ST
SANTA FE, NM 87501-2508
Phone number: 505-982-3113
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Mailing Address
SOUTHWEST CARES CA LLC
PO BOX 32390
SANTA FE, NM 87594-2390
Phone number: 505-982-3113
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