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Individual

MS. CONSUELO SANCHEZ PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADAC ALCOHOL AND DR

Contact information

Practice address
1720 E 32ND ST, SILVER CITY, NM 88061
(575) 388-4412
(575) 597-2809
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-8387

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0081521
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55300707
NM
Enumeration date
08/27/2006
Last updated
08/14/2018
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