ALVERA R UPSHAW

GALLUP, NM
NPI1972634962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  3525)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- ALVERA R UPSHAW LADAC
650 VANDEN BOSCH PKWY # B
GALLUP, NM 87301-5508
Phone number: 505-726-6900
Mailing Address
-- ALVERA R UPSHAW LADAC
1901 REDROCK DR PFS DEPT
GALLUP, NM 87301-5683
Phone number: 505-863-7000
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