Individual
LAURIE A TEIXEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10375 FORD AVE STE 3, RICHMOND HILL, GA 31324-9037
(912) 604-3983
(844) 605-1874
Mailing address
344 OXFORD DR, RICHMOND HILL, GA 31324-4729
(912) 604-3983
(844) 605-1874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002488
GA
Other
Enumeration date
10/02/2007
Last updated
12/27/2022
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