Individual
LAURA L CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 887-9579
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 887-9579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0151461
NM
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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