Individual
JOHN ALAN LAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
57 WALDEN MILL WAY, CATONSVILLE, MD 21228-2812
(410) 499-3667
Mailing address
57 WALDEN MILL WAY, CATONSVILLE, MD 21228-2812
(410) 499-3667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01956621
AMERIGROUP MCO
MD
05
—
039884500
—
MD
Enumeration date
02/08/2011
Last updated
07/21/2022
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