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Individual
MS. LAURA BETH CONN
Active
Individual
MS. LAURA BETH CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1800
NC
1041C0700X
Clinical Social Worker
Primary
COO8578
NC
Other
Enumeration date
09/13/2011
Last updated
08/13/2019
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