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Individual
MR. JUSTIN DAVID LAIRD
Active
Individual
MR. JUSTIN DAVID LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0163261
NM
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN-71867
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
64187
NM
Other
Enumeration date
10/30/2015
Last updated
06/08/2023
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