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Individual

HEATHER LAUDERBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
6515 PULLMAN DR STE 2200, LEWIS CENTER, OH 43035-7381
(614) 688-7076
(614) 688-7155
Mailing address
7511 TALL PINE DR, LEWIS CENTER, OH 43035
(614) 600-0469

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0008326
OH

Other

Enumeration date
07/18/2017
Last updated
07/21/2022
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