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1518193648
GEORGE RAYMOND LEWIS
ROSWELL, NM
NPI
1518193648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-0007)
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
-- GEORGE RAYMOND LEWIS LISW
1000 E 18TH ST
ROSWELL, NM 88201-7532
Phone number: 575-624-1780
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Mailing Address
-- GEORGE RAYMOND LEWIS LISW
1018 N PLAINS PARK DR
ROSWELL, NM 88203-2516
Phone number: 575-624-1780
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