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Individual
MS. LAURA ROSE FANIZZA
Active
Individual
MS. LAURA ROSE FANIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015819
VA
Other
Enumeration date
02/05/2024
Last updated
06/04/2024
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