Individual
MS. LOUISE M LA PLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1319 S GONZALES ST, LAS VEGAS, NM 87701-3408
(505) 617-1669
Mailing address
1320 S PACIFIC ST, LAS VEGAS, NM 87701-3420
(505) 454-4388
(505) 454-1090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3698
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000D3375
DD WAIVER
NM
Enumeration date
02/06/2007
Last updated
07/08/2007
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