Individual
CARA JEAN BURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CAPITAN ST NW, LOS LUNAS, NM 87031-6909
(303) 949-5382
Mailing address
1111 CAPITAN ST NW, LOS LUNAS, NM 87031-6909
(303) 949-5382
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
272140
CO
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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