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Individual
MS. LAURA ELIZABETH DAVIS
Active
Individual
MS. LAURA ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I4134
NM
1041C0700X
Clinical Social Worker
Primary
LICSW114293
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00072258
—
NM
01
—
100206
VALUE OPTIONS
NM
01
—
A1999
DD WAIVER DEPT OF HEALTH
NM
Enumeration date
08/20/2007
Last updated
01/13/2025
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