Individual
LAURA MARIE LYDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1623 POYNTZ AVE, MANHATTAN, KS 66502-4148
(785) 369-9105
Mailing address
306 LOCKETT LN, SAINT GEORGE, KS 66535-4004
(620) 482-0315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05660
KS
Other
Enumeration date
06/29/2019
Last updated
01/17/2023
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