Individual
MR. BARRY JAY LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
912 BENJAMIN CT SE, RIO RANCHO, NM 87124-1205
(505) 934-2160
(505) 892-2804
Mailing address
912 BENJAMIN CT SE, RIO RANCHO, NM 87124-1205
(505) 934-2160
(505) 892-2804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2887
NM
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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