Individual
LAURA BRUGGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3030 JENNIFER ST, LAS CRUCES, NM 88005-0900
(575) 650-0501
Mailing address
3030 JENNIFER ST, LAS CRUCES, NM 88005-0900
(575) 650-0501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-07179
NM
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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