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Individual

DR. LESLIE DOZZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
Mailing address
6141 THUNDERBIRD CIR NW, ALBUQUERQUE, NM 87120-2163
(505) 296-3965

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
735
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M1855
NM
05
M1919
NM
01
NM600109
VALUEOPTIONS
NM
Enumeration date
03/20/2007
Last updated
07/08/2007
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