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4313 Corrales Rd Corrales NM 87048-8663 | |
| (505) 440-3595 | |
| (855) 690-6884 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4313 Corrales Rd, Corrales, New Mexico |
| Authorized Official Name and Position | Laura Louise Smith (MANAGING MEMBER) |
| Authorized Official Contact | 5054403595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4313 Corrales Rd Corrales NM 87048-8663 Ph: (505) 440-3595 | 4313 Corrales Rd Corrales NM 87048-8663 Ph: (505) 440-3595 |
| NPI Number | 1821370842 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821370842 | NPI | - | NPPES |
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