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1518513316
SAMANTHA T WILLIS
DEMING, NM
NPI
1518513316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: NM B-3929)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
SAMANTHA T WILLIS LBSW
1321 E POPLAR ST
DEMING, NM 88030-4807
Phone number: 575-546-5951
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Mailing Address
SAMANTHA T WILLIS LBSW
1321 E POPLAR ST
DEMING, NM 88030-4807
Phone number: 575-546-5951
Copy
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