Individual
LAURA NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
326 ELLIS RD UNIT 107, MIRAMAR BEACH, FL 32550-6855
(850) 543-8929
Mailing address
326 ELLIS ROAD, UNIT 107, MIRAMAR BEACH, FL 32550
(850) 543-8929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW11421
FL
225700000X
Massage Therapist
Primary
MA41764
FL
Other
Enumeration date
05/21/2008
Last updated
02/02/2019
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