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1629141635
LURA WALLACE
LAS CRUCES, NM
NPI
1629141635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-3362)
Enumeration Date
2006-11-16
Last Update Date
2015-09-10
Business Address
Miss LURA WALLACE LISW
1990E LOHMAN AVE 204
LAS CRUCES, NM 88001-3172
Phone number: 575-525-0304
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Mailing Address
Miss LURA WALLACE LISW
1300G EL PASEO RD 201
LAS CRUCES, NM 88001-6024
Phone number: 575-525-0304
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