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1407401136
DANIELRAY MOISES BLEA SMITH
CARLSBAD, NM
NPI
1407401136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM SWB-2024-1066)
Enumeration Date
2019-08-08
Last Update Date
2024-11-11
Business Address
Mr. DANIELRAY MOISES BLEA SMITH LCSW
914 N CANAL ST
CARLSBAD, NM 88220-5110
Phone number: 575-885-4836
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Mailing Address
Mr. DANIELRAY MOISES BLEA SMITH LCSW
914 N CANAL ST
CARLSBAD, NM 88220-5110
Phone number: 755-815-8692
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