LEON JEROME WALKER

ROSWELL, NM
NPI1063157030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CSA0224721)
Enumeration Date2022-05-03
Last Update Date2022-05-03
Business Address
LEON JEROME WALKER
72 GAIL HARRIS ST
ROSWELL, NM 88203-8116
Phone number: 575-347-3400
Mailing Address
LEON JEROME WALKER
72 GAIL HARRIS ST
ROSWELL, NM 88203-8116
Phone number: 575-347-3400