Individual
JESSICA ROSE LAURINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5747
(505) 846-3200
Mailing address
1721 SLATE AVE NW, ALBUQUERQUE, NM 87104-1317
(516) 668-5362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0866
NM
Other
Enumeration date
06/05/2021
Last updated
07/11/2024
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