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1861004806
MATTHEW THOMPSON
ROSWELL, NM
NPI
1861004806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-3347)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
MATTHEW THOMPSON LCSW
1700 N UNION AVE
ROSWELL, NM 88201-3267
Phone number: 575-489-4750
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Mailing Address
MATTHEW THOMPSON LCSW
1700 N UNION AVE
ROSWELL, NM 88201-3267
Phone number: 575-489-4750
Copy
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