Individual
LAUREN MARIE KINGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 GUN CLUB RD SW, ALBUQUERQUE, NM 87105-6410
(561) 972-3969
Mailing address
2015 GUN CLUB RD SW, ALBUQUERQUE, NM 87105-6410
(561) 972-3969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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