Individual
MRS. LAURA DENISE LEEMASTER
Active
Individual
MRS. LAURA DENISE LEEMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
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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