Laurie Mae Grant Desilvera
NPI #1972790194 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1972790194
- Entity Type
- Individual
- Name
- Laurie Mae Grant Desilvera
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 2, 2007
- Last Updated
- Oct 2, 2007
Practice Location
- Address
- 5312 JAGUAR DR
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87507-1827
- Phone
- (505) 471-5006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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