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Organization

LAURA SUMPTER LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA SUMPTER LCSW (THERAPIST)
(573) 723-2368
Entity
Organization

Contact information

Practice address
107 W COURTHOUSE SQ, CUMMING, GA 30040-1610
(573) 723-2368
Mailing address
7190 WYNGATE DR, CUMMING, GA 30040-6604
(573) 723-2368

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW004682
BCBS, HUMANA, AETNA
GA
Enumeration date
12/05/2019
Last updated
06/23/2021
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