DARREN G NICKERSON

CLOVIS, NM
NPI1659365039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MO  2004031337)
Additional Taxonomies1041C0700X Social Worker Clinical
(Licence: ID  LCSW-25690)
Enumeration Date2005-08-31
Last Update Date2008-02-11
Business Address
DARREN G NICKERSON LCSW
87 SPUR RD
CLOVIS, NM 88101-9403
Phone number: 575-219-9293
Mailing Address
DARREN G NICKERSON LCSW
87 SPUR RD
CLOVIS, NM 88101-9403
Phone number: 575-219-9293