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1932698289
MARVA SELENE FONSECA
LAS CRUCES, NM
NPI
1932698289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CMH0196231)
Enumeration Date
2018-05-02
Last Update Date
2018-08-24
Business Address
MARVA SELENE FONSECA LMHC
100 W GRIGGS AVE
LAS CRUCES, NM 88001
Phone number: 575-647-2800
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Mailing Address
MARVA SELENE FONSECA LMHC
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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