Individual
LAURA A BEYERSDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
Mailing address
215 E. 11TH ST., NEWPORT, KY 41071
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255210
KY
1041C0700X
Clinical Social Worker
I0700074
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255210
KY LICENSE
KY
Enumeration date
07/14/2009
Last updated
03/15/2021
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