CARLTON DESHAWN LEWIS

CLOVIS, NM
NPI1609062256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0106271)
Enumeration Date2007-09-18
Last Update Date2007-09-18
Business Address
-- CARLTON DESHAWN LEWIS
414 MITCHELL ST
CLOVIS, NM 88101-7354
Phone number: 505-762-9000
Mailing Address
-- CARLTON DESHAWN LEWIS
414 MITCHELL ST
CLOVIS, NM 88101-7354
Phone number: 505-762-9000
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