Individual
LESLIE MONICA VALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
41 PINSABARRI DR, ACOMA, NM 87034-0328
(505) 552-6661
(505) 552-6427
Mailing address
PO BOX 328, ACOMA, NM 87034-0328
(505) 552-6661
(505) 552-6427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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