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1679808158
EUGENE WELLS
CORRALES, NM
NPI
1679808158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I06224)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
-- EUGENE WELLS LISW
3824 CORRALES RD
CORRALES, NM 87048-9306
Phone number: 505-804-5457
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Mailing Address
-- EUGENE WELLS LISW
505 2ND ST SW #1
ALBUQUERQUE, NM 87102-3970
Phone number:
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