Individual
LAURA M CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2805 EASTERN AVE STE D, DAVENPORT, IA 52803-2074
(563) 505-0141
(563) 275-6891
Mailing address
2805 EASTERN AVE STE D, DAVENPORT, IA 52803-2074
(563) 505-0141
(563) 275-6891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007176
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074526
—
IA
Enumeration date
07/28/2008
Last updated
11/14/2022
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