Individual
LAURA GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
5341 WYOMING BLVD NE, SUITE B, ALBUQUERQUE, NM 87109-3164
(505) 508-0197
(505) 508-0465
Mailing address
7801 CANDELARIA RD NE, SANDIA HS, ALBUQUERQUE, NM 87110-3757
(505) 294-1511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I 5638
NM
1041S0200X
School Social Worker
I 5638
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21253790
—
NM
Enumeration date
03/02/2007
Last updated
04/06/2016
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