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Individual

KATHLEEN M LASKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
101 JACKSON ST, FRANKLIN, LA 70538-5430
(903) 413-3547
Mailing address
PO BOX 294, GARDEN CITY, LA 70540-0294
(903) 413-3547

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4158B
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4158B
LOUISIANA STATE BOARD OF LICENSED CLINICAL SOCIALWORK
LA
Enumeration date
01/11/2024
Last updated
01/11/2024
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