Individual
LORA GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 TINGLEY ST, TRUTH OR CONSEQUENCES, NM 87901-2641
(575) 740-8104
Mailing address
509 TINGLEY ST, TRUTH OR CONSEQUENCES, NM 87901-2641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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