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Individual
LAURA COULTER
Active
Individual
LAURA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16307
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369720
KAISER
MD
01
—
556506
MHN
MD
05
—
852110700
—
MD
Enumeration date
07/29/2015
Last updated
12/03/2025
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