Individual
LAURA LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(337) 531-3011
Mailing address
137 EAGLE POINT RD, LEESVILLE, LA 71446-5041
(208) 724-6369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13507
LA
Other
Enumeration date
12/04/2014
Last updated
06/30/2023
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