Individual
KIRA SUE VAN DER LAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9734
(844) 534-3638
Mailing address
400 W MADISON ST, GIBSONBURG, OH 43431-1221
(567) 201-6450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I.1901397
OH
Other
Enumeration date
11/10/2020
Last updated
04/07/2025
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