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Individual

LATISHA ROYBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(575) 550-7355
Mailing address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
(505) 247-9503

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
X-11098
NM
104100000X
Social Worker
Primary
X11098
NM

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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