Organization
LAWRENCE D. PEREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE D. PEREA LCSW (PRESIDENT)
(307) 399-7145
Entity
Organization
Contact information
Practice address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 399-7145
Mailing address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 399-7145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
07/15/2024
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