Individual
LAURA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3526 THOMPSON BND, GAINESVILLE, GA 30506-1202
(770) 718-7794
Mailing address
3526 THOMPSON BND, GAINESVILLE, GA 30506-1202
(770) 718-7794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005175
GA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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