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1740570712
LINDA CHACE BRISLEN
CORRALES, NM
NPI
1740570712
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Former Name
LINDA LAWRENCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0137521)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
-- LINDA CHACE BRISLEN LMHC
455 HANSON RD.
CORRALES, NM 87048-0870
Phone number: 505-385-8154
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Mailing Address
-- LINDA CHACE BRISLEN LMHC
PO BOX 870
CORRALES, NM 87048-0870
Phone number:
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