De Azevedo, Laura

De Azevedo, Laura is an sole proprietor health care provider with primary practice located at 6020 Constitution Ave Ne Suite 4, Albuquerque NM 87110-5900. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. De Azevedo, Laura can be contacted via phone (505) 255-5099.

Contact Information

Primary practice address
6020 Constitution Ave Ne Suite 4 Albuquerque NM 87110-5900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 356440 New Mexico

Profile Details

NPI number 1588065577
LBN Legal business name De Azevedo, Laura
Credentials ED.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2014
Last updated May 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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