1811120629

Everything you always wanted to know about MRS. SHEHANE LAURA SLP 1 DISMUKES LAURA SLP but were afraid to ask.

MRS. SHEHANE LAURA SLP 1 DISMUKES LAURA SLP

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Provider Prefix Provider Last Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Last Name Provider Other First Name Provider Other Credential
MRS. SHEHANE LAURA SLP 1 DISMUKES LAURA SLP
Gender:
Female
Enumeration date:
2009-08-26
Last update date:
2015-09-12
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
235Z00000X Speech-Language Pathologist NM 5782 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6155174048
Practice Location Address Telephone Number 6155174048

Addresses

Type Address City State Postal Country
Mailing Address 1227 DIAMONDBACK DR NE ALBUQUERQUE NM 87113 NM
Practice Location Address 1227 DIAMONDBACK DR NE ALBUQUERQUE NM 87113 NM