Individual
LAURA LEVEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 NW RIVERSIDE DR, PORT ST LUCIE, FL 34983-8619
(772) 501-1059
Mailing address
505 NW RIVERSIDE DR, PORT ST LUCIE, FL 34983-8619
(772) 501-1059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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