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Individual

MR. DAMON LAEMMLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SW

Contact information

Practice address
1300 CAMINO SIERRA VIS, 129, SANTA FE, NM 87505-1007
(505) 467-2504
(505) 467-2646
Mailing address
1475 CLARK RD, SANTA FE, NM 87507-5174
(505) 690-8926

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M05225
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6882854
NM
Enumeration date
03/07/2007
Last updated
07/08/2007
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