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Individual
MRS. LAURA MICHELLE EKLUND
Active
Individual
MRS. LAURA MICHELLE EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12062699
CAQH
VA
01
—
LCSW-CA69692
BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
02/10/2010
Last updated
05/24/2023
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