Individual
LAURIE A ENGELHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E PINON ST., MOUNTAINAIR, NM 87036-0787
(505) 847-2277
(505) 847-0513
Mailing address
PO BOX 787, MOUNTAINAIR, NM 87036-0787
(505) 847-2277
(505) 847-0613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10419999X
NM
Other
Enumeration date
08/11/2009
Last updated
09/07/2016
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