Individual
ELIZABETH GRACE LAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(510) 317-1444
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
104100000X
Social Worker
Primary
111157
CA
1041C0700X
Clinical Social Worker
111157
CA
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
111157
CA
Other
Enumeration date
09/14/2022
Last updated
05/11/2023
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