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Individual
MS. LAURIE AMY JACHYM
Active
Individual
MS. LAURIE AMY JACHYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007031
—
NC
01
—
C006129
SOCIAL WORK CERTIFICATION AND LICENSURE BOARD (LCSW)
NC
Enumeration date
01/17/2007
Last updated
08/01/2011
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