Individual
LAURIE RENNE LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 283-8752
Mailing address
246 VIOLET LN, FALLING WATERS, WV 25419-4174
(304) 283-8752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3018
WV
101YM0800X
Mental Health Counselor
Primary
LC15392
MD
Other
Enumeration date
09/26/2022
Last updated
09/07/2024
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