Organization
LA VERA STUDIO LLC
Active
Other names
La Vera Studio LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY ROSE BAYER LCSW (CLINICAL SOCIAL WORKER)
(260) 602-6203
Entity
Organization
Contact information
Practice address
716 JACKSON ST, FORT WAYNE, IN 46802-3959
(260) 602-6203
Mailing address
716 JACKSON ST, FORT WAYNE, IN 46802-3959
(260) 602-6203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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