Individual
MRS. DEBRA JEAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4776 EAGLERIDGE CIR, PUEBLO, CO 81008-2189
(719) 553-1000
Mailing address
2310 BRUNO CIR, COLORADO SPRINGS, CO 80916-2670
(719) 238-6894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924623
CO
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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