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Individual

BRITTNEE PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 MARQUEZ PL, UNIT D, SANTA FE, NM 87505-1693
(505) 501-8485
Mailing address
PO BOX 13289, DURHAM, NC 27709-3289

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15556
NC
106S00000X
Behavior Technician
NM
221700000X
Art Therapist
19-329
TN

Other

Enumeration date
03/29/2017
Last updated
01/27/2021
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