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1811917503
JOSEPH SALACK
SANTA FE, NM
NPI
1811917503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 2028)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- JOSEPH SALACK LPPC
820 PASEO DE PERALTA
SANTA FE, NM 87501-2233
Phone number: 505-995-9550
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Mailing Address
-- JOSEPH SALACK LPPC
501 RIO GRANDE AVE B1
SANTA FE, NM 87501-1396
Phone number: 505-986-6172
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