Individual
LAURIE ANN GEISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(856) 428-1300
Mailing address
615 5TH ST, BROOKINGS, OR 97415-9199
(561) 351-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8563
OR
Other
Enumeration date
12/12/2011
Last updated
03/17/2021
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