Individual
MRS. LAURA 'TESS' COETZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
551 SEMINOLE LANE, SOPCHOPPY, FL 32358
(850) 524-3113
Mailing address
551 SEMINOLE LANE, SOPCHOPPY, FL 32358
(850) 524-3113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW11797
FL
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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