Individual
MRS. LAURA M LEEDER-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1200 N THORNTON ST STE J, CLOVIS, NM 88101-5508
(575) 935-8522
(575) 935-8524
Mailing address
1200 N THORNTON ST STE J, CLOVIS, NM 88101-5508
(575) 935-8522
(575) 935-8524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0148831
NM
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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