Individual
ROBERT IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(505) 327-4796
(505) 325-9133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-07614
NM
Other
Enumeration date
12/04/2014
Last updated
12/19/2014
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