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1871968701
JOSE FRESQUEZ
RIO RANCHO, NM
NPI
1871968701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM 0005)
Enumeration Date
2015-12-03
Last Update Date
2015-12-03
Business Address
-- JOSE FRESQUEZ PHD, LISW/LCSW
4321 FULCRUM WAY NE STE B
RIO RANCHO, NM 87144-8410
Phone number: 505-205-6760
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Mailing Address
-- JOSE FRESQUEZ PHD, LISW/LCSW
4321 FULCRUM WAY NE STE B
RIO RANCHO, NM 87144-8410
Phone number: 505-205-6760
Copy
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