Individual
MRS. AVIS D LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17487 OLD JEFFERSON HWY STE A, PRAIRIEVILLE, LA 70769-4043
(225) 910-2477
(225) 647-3213
Mailing address
6486 HIGHWAY 44, GONZALES, LA 70737-8158
(225) 910-2477
(225) 647-3213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5329
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013208404
—
LA
Enumeration date
04/20/2011
Last updated
06/11/2019
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