LARISSA SHANTAA MILLER

ALBUQUERQUE, NM
NPI1750850517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-21
Last Update Date2018-11-21
Business Address
LARISSA SHANTAA MILLER LSAA
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
Mailing Address
LARISSA SHANTAA MILLER LSAA
12021 SKYLINE RD NE APT 1603
ALBUQUERQUE, NM 87123-3081
Phone number: 505-450-2918
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