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Individual

MRS. LAURA CHRISTINE PERCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1210 W 1ST ST, FORT PIERCE, FL 34982-7206
(772) 882-4857
Mailing address
1210 W 1ST ST, FORT PIERCE, FL 34982-7206
(772) 882-4857

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007057
SC

Other

Enumeration date
10/21/2012
Last updated
10/21/2012
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