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Individual

SALLY RAE GOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
28 PASEO DE SAN ANTONIO, PLACITAS, NM 87043-8735
(505) 660-0846
(505) 404-8062
Mailing address
PO BOX 235, PLACITAS, NM 87043-0235
(505) 660-0846
(505) 404-8062

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0107651
NM
106H00000X
Marriage & Family Therapist
203
AK

Other

Enumeration date
12/27/2006
Last updated
08/05/2009
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