Individual
GEORGE WILLIAM DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
747 KELLI CIR, LAS CRUCES, NM 88007-5219
(575) 635-8150
Mailing address
747 KELLI CIR, LAS CRUCES, NM 88007-5219
(575) 635-8150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3577
NM
1041S0200X
School Social Worker
I3577
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T7908
—
NM
Enumeration date
02/27/2007
Last updated
02/02/2015
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