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1992833024
JOSEPH MARION LACAYO
GALLUP, NM
NPI
1992833024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-2669)
Enumeration Date
2007-03-01
Last Update Date
2014-12-04
Business Address
Mr. JOSEPH MARION LACAYO LISW
513 WILLIAMS ST BLDG 15
GALLUP, NM 87301-4799
Phone number: 505-722-3760
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Mailing Address
Mr. JOSEPH MARION LACAYO LISW
758 PATTON DR
GALLUP, NM 87301-4784
Phone number: 505-399-8197
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