Individual
LAFE W. DAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FOR DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
P.O. BOX 649, FORT DEFIANCE, AZ 86504
(928) 729-8500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
309516-3502
UT
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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