Individual
LAURA LYNNE LEBRASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
140 BEACH DR, FORT WALTON BEACH, FL 32547-2467
(850) 225-4517
Mailing address
140 BEACH DR, FORT WALTON BEACH, FL 32547-2467
(850) 225-4517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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