Individual
MS. LAURA ELISE BYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018030148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14477259
CAQH
—
05
—
490074042
—
MO
Enumeration date
05/30/2019
Last updated
08/23/2021
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