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1972229888
DESIREE DAWN MARTINEZ
ESPANOLA, NM
NPI
1972229888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2022-0753)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
DESIREE DAWN MARTINEZ LSAA
1227 N RAILROAD AVE STE C
ESPANOLA, NM 87532-3159
Phone number: 505-747-8187
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Mailing Address
DESIREE DAWN MARTINEZ LSAA
PO BOX 1725
SANTA CRUZ, NM 87567-1725
Phone number: 505-927-9220
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