Individual
MR. RICHARD DANE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
110 WEST TWENTY FIRST, CLOVIS, NM 88101
(505) 769-2345
(505) 769-8974
Mailing address
279 SOUTH ROOSEVELT ROAD X, PORTALES, NM 88130
(505) 359-3137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M05987
NM
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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