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1922653617
VIVIAN LASHAWN FAIN
ALBUQUERQUE, NM
NPI
1922653617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0179571)
Enumeration Date
2019-08-08
Last Update Date
2019-08-22
Business Address
Mrs. VIVIAN LASHAWN FAIN LPCC
9521 SAN MATEO BLVD NE
ALBUQUERQUE, NM 87113-2237
Phone number: 505-923-8074
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Mailing Address
Mrs. VIVIAN LASHAWN FAIN LPCC
9521 SAN MATEO BLVD NE
ALBUQUERQUE, NM 87113-2237
Phone number: 505-923-8074
Copy
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