WAYNE KEITH HEAD

CLOVIS, NM
NPI1699844464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NM  M1898)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- WAYNE KEITH HEAD LMSW
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
Mailing Address
-- WAYNE KEITH HEAD LMSW
1609 BELVOIR CIR
CLOVIS, NM 88101-3983
Phone number: 505-762-0787