Individual
MS. LAURA LYNN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1250 W MOCKINGBIRD LN, SUITE 550, DALLAS, TX 75247-4902
(469) 904-3549
(214) 819-2405
Mailing address
1250 W MOCKINGBIRD LN, SUITE 550, DALLAS, TX 75247-4902
(469) 904-3549
(214) 819-2405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35052
TX
1041C0700X
Clinical Social Worker
35052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12024626
CAQH PROVIDER ID
TX
Enumeration date
10/21/2008
Last updated
10/08/2025
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