Individual
MRS. LAURIE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 608-0380
Mailing address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 608-0380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7570
OK
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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