person
Wayne Keith Head, LMSW
School Social Worker in Clovis, New Mexico
NPI 1699844464

Wayne Keith Head is a School Social Worker based in Clovis, NM and is specialized in School. Wayne Keith Head practices in Clovis, NM and has the professional credentials of LMSW. The NPI Number for Wayne Keith Head is 1699844464 and holds a License No. M1898 (New Mexico).

The current practice location address for Wayne Keith Head is 1600 Sutter Pl, Clovis, NM and can be reached out via phone at 505-769-4490 and via fax at 505-935-0011.

Location: 1600 Sutter Pl, Clovis, NM, 88101-3983
person
Provider Profile Details
NPI Number
1699844464
Provider Name
Wayne Keith Head
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
1600 Sutter Pl, Clovis, NM, 88101-3983
Phone Number
505-769-4490
Fax Number
505-935-0011
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000L3825 05 NM
institution
Provider Business Practice Location Address Details
Address
1600 Sutter Pl
City
State
Zip
88101-4611
Phone Number
505-769-4490
Fax Number
505-935-0011
person
Provider Business Mailing Address Details
Address
1600 Sutter Pl
City
State
Zip
88101-4611
Phone Number
505-769-4490
Fax Number
505-935-0011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
M1898 (New Mexico)
Definition
Definition to come...
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