Individual
MR. PAUL DEPETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5124 NORTHERN TRL NW, ALBUQUERQUE, NM 87120-2024
(505) 681-0549
Mailing address
5124 NORTHERN TRL NW, ALBUQUERQUE, NM 87120-2024
(505) 681-0549
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2220
NM
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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