Sullivan, Laura Marie

Sullivan, Laura Marie is an individual health care provider with primary practice located at 9 Carlito Rd , Santa Fe NM 87508-8784. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Laura Marie can be contacted via phone (505) 466-4896.

Contact Information

Primary practice address
9 Carlito Rd Santa Fe NM 87508-8784
Phone: (505) 466-4896
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 989695 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X X05080 New Mexico

Profile Details

NPI number 1114904778
LBN Legal business name Sullivan, Laura Marie
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jul 8th, 2007 - about 17 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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