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1871235655
CLARENCE AUSTIN CHURCH
FARMINGTON, NM
NPI
1871235655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM CTL0222201)
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
CLARENCE AUSTIN CHURCH LMHC
2901 E 20TH ST
FARMINGTON, NM 87402-4411
Phone number: 505-326-0241
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Mailing Address
CLARENCE AUSTIN CHURCH LMHC
74 ROAD 3900
FARMINGTON, NM 87401-3203
Phone number: 719-502-1366
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