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1912906322
VICKI FULLER ALLEN
LORDSBURG, NM
NPI
1912906322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I05940)
Enumeration Date
2005-07-18
Last Update Date
2008-03-04
Business Address
-- VICKI FULLER ALLEN LISW
530 DE MOSS ST HILDAGO MEDICAL SERVICES
LORDSBURG, NM 88045-2618
Phone number: 575-542-8384
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Mailing Address
-- VICKI FULLER ALLEN LISW
530 DE MOSS ST
LORDSBURG, NM 88045-2618
Phone number: 575-542-8384
Copy
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