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Individual

LAURA DE AZEVEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S

Contact information

Practice address
6020 CONSTITUTION AVE NE, SUITE 4, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
Mailing address
PO BOX 3338, ALBUQUERQUE, NM 87190-3338
(505) 255-5099
(505) 255-4206

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
356440
NM

Other

Enumeration date
09/09/2014
Last updated
05/13/2015
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