Individual
MRS. LAURA DENISE LEEMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
4004 CAMPBELL, VALPARAISO, IN 46385
(219) 462-9000
(219) 462-9000
Mailing address
815 MAIN ST., SUITE 1D, ST. JOSEPH, MI 49085
(269) 982-4055
(219) 462-9000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34003981A
IN
1041C0700X
Clinical Social Worker
Primary
6801090052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219941
BLUE CROSSBLUE SHIELD
IN
01
—
11490947
CAQH LAURA SMITH/LEEMASTER
—
Enumeration date
02/12/2007
Last updated
12/16/2008
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