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1043597511
ROBERT WARD
CLOVIS, NM
NPI
1043597511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0157971)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-11-10
Last Update Date
2013-04-15
Business Address
-- ROBERT WARD
121 TOWNSGATE PLZ
CLOVIS, NM 88101-3714
Phone number: 575-742-2620
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Mailing Address
-- ROBERT WARD
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number:
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