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1699844464
WAYNE KEITH HEAD
CLOVIS, NM
NPI
1699844464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: NM M1898)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- WAYNE KEITH HEAD LMSW
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
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Mailing Address
-- WAYNE KEITH HEAD LMSW
1609 BELVOIR CIR
CLOVIS, NM 88101-3983
Phone number: 505-762-0787
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