Individual
LAURA GOTTSCHALCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
Mailing address
PO BOX 6705, GULFPORT, MS 39506-6705
(228) 865-1330
(228) 865-1331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9045
MS
1041C0700X
Clinical Social Worker
Primary
C11848
MS
Other
Enumeration date
04/30/2020
Last updated
05/01/2026
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