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1720592298
ELLEN STORM JOHANNSEN
ALBUQUERQUE, NM
NPI
1720592298
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Former Name
ELLEN JANE STORM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: NM 0192981)
Enumeration Date
2017-11-20
Last Update Date
2017-11-20
Business Address
Mrs. ELLEN STORM JOHANNSEN MS
6121 INDIAN SCHOOL RD NE STE 141
ALBUQUERQUE, NM 87110-3176
Phone number: 505-888-1362
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Mailing Address
Mrs. ELLEN STORM JOHANNSEN MS
6121 INDIAN SCHOOL RD NE STE 141
ALBUQUERQUE, NM 87110-3176
Phone number: 505-888-1362
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