Individual
LAURA SOFIA ACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
218 W NEZ PERCE, JEROME, ID 83338-5077
(208) 324-3471
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 737-6718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
072342-1
NY
1041C0700X
Clinical Social Worker
Primary
LCSW-40042
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12300822
CAQH
—
Enumeration date
01/31/2007
Last updated
04/06/2021
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