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Individual

MS. LAUREL LORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
649 HARKLE RD STE E, SANTA FE, NM 87505-4765
(505) 955-9454
(505) 216-9067
Mailing address
PO BOX 6880, SANTA FE, NM 87502-6880
(505) 955-9454
(505) 216-9067

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09884
NM
1041C0700X
Clinical Social Worker
LCSW-62436
TX

Other

Enumeration date
04/23/2016
Last updated
01/04/2022
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