Individual
LAURA BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 274-6003
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 274-6003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09925723
CO
104100000X
Social Worker
LSW.0009921258
CO
Other
Enumeration date
10/05/2016
Last updated
12/14/2018
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