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1225487812
JAMES LUCERO
TAOS, NM
NPI
1225487812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M-07122)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
-- JAMES LUCERO LMSW
905 WITT RD.
TAOS, NM 87571
Phone number: 575-758-8023
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Mailing Address
-- JAMES LUCERO LMSW
PO BOX 72 905 WITT RD.
TAOS, NM 87571-0072
Phone number:
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