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General NPI Number Information
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NPI Number | 1952142903
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Entity Type | Organization
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Legal Business Name | GRIESE AND ASSOCIATES
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 755 S TELSHOR BLVD STE Q102
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City | LAS CRUCES
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State | NM
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Zip | 88011-4681
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Country | US
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Telephone | 915-213-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 755 S TELSHOR BLVD STE Q102
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City | LAS CRUCES
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State | NM
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Zip | 88011-4681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LORENA D GRIESE
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Credential | LMFT
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Telephone | 915-213-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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