Individual
LAURA A WILLENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 SAW MILL RD STE 3200, LAFAYETTE, IN 47905-5597
(765) 413-5835
(765) 227-3349
Mailing address
100 SAW MILL RD STE 3200, LAFAYETTE, IN 47905-5597
(765) 413-5835
(765) 227-3349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006314A
IN
Other
Enumeration date
04/30/2012
Last updated
11/29/2023
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