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Organization
SOUTH WEST HEALING AND CHANGE LLC
Active
Organization
SOUTH WEST HEALING AND CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN BRICKLEY (LPCC/OWNER)
(215) 803-5261
Entity
Organization
Contact information
Practice address
1424 DEBORAH ROAD SE, RIO RANCHO, NM 87124
(505) 415-8085
Mailing address
8205 SPAIN ROAD NE, SUITE 106, ALBUQUERQUE, NM 87109-3155
(505) 384-7352
(505) 274-7338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0146921
NM
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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