Individual
LAURIE GRONER HONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
4480 MISSOURI AVE, FORT LEONARD WOOD, MO 65473
(573) 596-0522
Mailing address
9913-A MAMC ANNEX RAMP 2, TACOMA, WA 98431-0001
(360) 349-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00009506
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431008405
GROUP ID NUMBER
MO
05
—
490615614
—
MO
Enumeration date
08/05/2006
Last updated
02/13/2023
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