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1902130313
THERESA MAE NEZ
GALLUP, NM
NPI
1902130313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-06291)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
Ms. THERESA MAE NEZ LISW
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Ms. THERESA MAE NEZ LISW
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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