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1821212036
BARRY JAY LEVINE
RIO RANCHO, NM
NPI
1821212036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-2887)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mr. BARRY JAY LEVINE LISW
912 BENJAMIN CT SE
RIO RANCHO, NM 87124-1205
Phone number: 505-934-2160
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Mailing Address
Mr. BARRY JAY LEVINE LISW
912 BENJAMIN CT SE
RIO RANCHO, NM 87124-1205
Phone number: 505-934-2160
Copy
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