Individual
LAUREN LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
59804
TX
1041C0700X
Clinical Social Worker
Primary
9159-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417461872
—
WI
Enumeration date
11/21/2017
Last updated
04/21/2022
Update your record
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