Individual
MR. JUSTIN DEAN NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCSW, LCSW,-S
Contact information
Practice address
321 COMMERCE WAY, CLOVIS, NM 88101-4750
(575) 935-6262
Mailing address
321 COMMERCE WAY, CLOVIS, NM 88101-4750
(575) 935-6262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8564
KS
1041C0700X
Clinical Social Worker
Primary
C-10855
NM
1041C0700X
Clinical Social Worker
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Other
Enumeration date
03/25/2013
Last updated
02/06/2025
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