Individual
MELISSA ANN LAUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2472
Mailing address
7391 SAGE XING, FAIRVIEW, PA 16415-3311
(814) 450-4069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126448
PA
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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