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Organization
LAURIE LA MADRID LLC DBA LAURIE LA MADRID, MFT
Active
Organization
LAURIE LA MADRID LLC DBA LAURIE LA MADRID, MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE L. LA MADRID (SOLE MEMBER)
(808) 650-2468
Entity
Organization
Contact information
Practice address
94-1042 KA UKA BLVD STE 203, WAIPAHU, HI 96797-6209
(808) 650-2468
Mailing address
94-1042 KA UKA BLVD STE 203, WAIPAHU, HI 96797-6209
(808) 650-2468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
12/27/2020
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