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1104924729
DANIEL WAYNE INGROFF
TAOS, NM
NPI
1104924729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I 2149)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. DANIEL WAYNE INGROFF LISW LCSW
705 FELICIDAD
TAOS, NM 87571
Phone number: 505-737-9348
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Mailing Address
Mr. DANIEL WAYNE INGROFF LISW LCSW
PO BOX 3107
TAOS, NM 87571
Phone number: 505-758-4882
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