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Individual

MR. LAWRENCE DANIEL ERES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LADAC

Contact information

Practice address
BLDG 1363, ABERDEEN AVE, WHITE SANDS MISSILE RANGE, NM 88002
(575) 674-3500
Mailing address
BLDG 1363, ABERDEEN AVE, WHITE SANDS MISSILE RANGE, NM 88002
(575) 674-3552

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0117991
NM
1041C0700X
Clinical Social Worker
Primary
I-07707
NM

Other

Enumeration date
03/13/2007
Last updated
11/29/2023
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