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Individual
LAURA ELIZABETH DERMER
Active
Individual
LAURA ELIZABETH DERMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005281
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004172912
—
CT
05
—
004172920
—
CT
Enumeration date
11/29/2006
Last updated
10/30/2013
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