Individual
LAURA R FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016016572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490014042
—
MO
Enumeration date
05/28/2014
Last updated
01/31/2020
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