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Individual

DARAH SUSAN SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
(505) 271-4957
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106S00000X
Behavior Technician
NM

Other

Enumeration date
10/26/2011
Last updated
05/10/2024
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