Individual
LAURA KATHLEEN IANDOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1007
(229) 257-3898
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007045
GA
Other
Enumeration date
07/12/2018
Last updated
08/01/2023
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