JOHN PERRY FUNK

LAS CRUCES, NM
NPI1114110954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-058184)
Enumeration Date2007-08-24
Last Update Date2007-08-24
Business Address
-- JOHN PERRY FUNK LISW
410 N ARMIJO ST APT. 2
LAS CRUCES, NM 88005-2582
Phone number: 505-650-1111
Mailing Address
-- JOHN PERRY FUNK LISW
410 N ARMIJO ST APT. 2
LAS CRUCES, NM 88005-2582
Phone number: 505-650-1111
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