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1417031337
RICHARD DANE HOLT
CLOVIS, NM
NPI
1417031337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M05987)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Mr. RICHARD DANE HOLT LMSW
110 WEST TWENTY FIRST
CLOVIS, NM 88101
Phone number: 505-769-2345
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Mailing Address
Mr. RICHARD DANE HOLT LMSW
279 SOUTH ROOSEVELT ROAD X
PORTALES, NM 88130
Phone number: 505-359-3137
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