Organization
LAURIE LA MADRID LLC DBA LAURIE LA MADRID, MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE L. LA MADRID (SOLE MEMBER)
(808) 650-2468
Entity
Organization
Contact information
Practice address
94-1042 KA UKA BLVD STE 203, WAIPAHU, HI 96797-6209
(808) 650-2468
Mailing address
94-1042 KA UKA BLVD STE 203, WAIPAHU, HI 96797-6209
(808) 650-2468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
12/27/2020
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