Individual
LAURA IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 W 13TH ST, PUEBLO, CO 81003-1961
(719) 458-4654
Mailing address
1410 W 13TH ST, PUEBLO, CO 81003-1961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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