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Individual
MISS LAURA L MERRY
Active
Individual
MISS LAURA L MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, C-SWHC, BCD
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150009201
IL
1041C0700X
Clinical Social Worker
Primary
149.014604
IL
Other
Enumeration date
03/19/2009
Last updated
11/26/2014
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