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Individual
LAURA L WHEELER
Active
Individual
LAURA L WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101794902
—
TX
01
—
742843213
TAX ID
TX
01
—
800008231
RAILROAD MEDICARE
TX
01
—
82329W
BLUE CROSS
TX
Enumeration date
08/02/2005
Last updated
02/06/2012
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