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General NPI Number Information
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NPI Number | 1942872999
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Entity Type | Individual
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Provider Name | LAURA ROSE KING LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/10/2021
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 300 S LEA AVE # 4
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City | ROSWELL
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State | NM
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Zip | 88203-4562
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Country | US
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Telephone | 575-347-1883
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Fax | 737-201-2725
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Provider Business Mailing Address
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Address Line | PO BOX 102
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City | ROSWELL
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State | NM
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Zip | 88202-0102
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Country | US
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Telephone | 573-413-7882
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2022-0534
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License Number State | NM
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