Individual
LUANNE JOHNSON STORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 255-5501
(505) 255-9971
Mailing address
9621 BOLACK DR NE, ALBUQUERQUE, NM 87109-6353
(505) 797-1072
(505) 255-7791
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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