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1922720523
ALYSE Y MOULTON
ALBUQUERQUE, NM
NPI
1922720523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NM SWB-2022-0251)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
ALYSE Y MOULTON LCSW
1900 RANDOLPH RD SE
ALBUQUERQUE, NM 87106-4247
Phone number: 505-750-4547
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Mailing Address
ALYSE Y MOULTON LCSW
1321 E POPLAR ST
DEMING, NM 88030-4807
Phone number: 575-546-5951
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