Individual
LARRY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(505) 769-4490
(505) 935-0011
Mailing address
1726 FAIRWAY TER, CLOVIS, NM 88101-3124
(505) 762-2519
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-06485
NM
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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