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Individual
MS. LAURA MAE VAN WAARDENBURG
Active
Individual
MS. LAURA MAE VAN WAARDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29431
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES, LICENSED CLINICAL SOCIAL WORKER
CA
Enumeration date
08/11/2009
Last updated
05/03/2018
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