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Individual

DENISE LEROUGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPSW

Contact information

Practice address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
Mailing address
9201 MONTGOMERY BLVD NE BLDG 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM
175T00000X
Peer Specialist
1003
NM

Other

Enumeration date
05/27/2020
Last updated
10/19/2021
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