RICHARD DANE HOLT

CLOVIS, NM
NPI1417031337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  M05987)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Mr. RICHARD DANE HOLT LMSW
110 WEST TWENTY FIRST
CLOVIS, NM 88101
Phone number: 505-769-2345
Mailing Address
Mr. RICHARD DANE HOLT LMSW
279 SOUTH ROOSEVELT ROAD X
PORTALES, NM 88130
Phone number: 505-359-3137