Individual
LAURA HEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
5400 CUTLER AVE NE, NEW FUTURES, ALBUQUERQUE, NM 87110
(505) 883-5680
Mailing address
5400 CUTLER AVE NE, NEW FUTURES, ALBUQUERQUE, NM 87110-4073
(505) 883-5680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-07412
NM
1041S0200X
School Social Worker
M 3065
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66580340
—
NM
Enumeration date
03/02/2007
Last updated
07/10/2018
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