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1861049975
LEROY BRIAN SALAZAR
TAOS, NM
NPI
1861049975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-CTL0203651)
Enumeration Date
2019-08-22
Last Update Date
2023-11-27
Business Address
LEROY BRIAN SALAZAR LMHC
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
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Mailing Address
LEROY BRIAN SALAZAR LMHC
PO BOX 2238
TAOS, NM 87571-2238
Phone number: 575-758-4297
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