Individual
LAURA BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CALIFORNIA ST STE E, COLUMBUS, IN 47201-3671
(812) 342-4220
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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