LAWRENCE ELDEN DETTWEILER

SANTA FE, NM
NPI1407979990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  4706)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE ELDEN DETTWEILER Ph.D.
453 CERRILLOS RD
SANTA FE, NM 87501-3784
Phone number: 505-603-0641
Mailing Address
Dr. LAWRENCE ELDEN DETTWEILER Ph.D.
14 MELADO DR
SANTA FE, NM 87508-2254
Phone number: 505-603-0641
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