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1770958852
BRENDA LEOS
ROSWELL, NM
NPI
1770958852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM 0176671)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
BRENDA LEOS LMHC
110 E MESCALERO RD
ROSWELL, NM 88201-6542
Phone number: 575-755-2272
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Mailing Address
BRENDA LEOS LMHC
1515 W FIR ST
PORTALES, NM 88130-5703
Phone number: 575-356-6695
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