Individual
JEFFERY L HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1980 E LOHMAN AVE, SUITE B, LAS CRUCES, NM 88001-3194
(575) 526-9900
(575) 523-8640
Mailing address
1980 E LOHMAN AVE, SUITE B, LAS CRUCES, NM 88001-3194
(575) 526-9900
(575) 523-8640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-06487
NM
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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