Individual
LAUREN M KRAEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
335 WASHNGTN ST SE, GAINESVILLE, GA 30501-3616
(678) 516-7111
Mailing address
335 WASHNGTN ST SE, GAINESVILLE, GA 30501-3616
(678) 614-5448
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
CSW005994
GA
1041C0700X
Clinical Social Worker
Primary
CSW005994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14368388
CAQH
GA
Enumeration date
11/26/2018
Last updated
06/11/2019
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