Individual
MS. LAURA ELENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3004 E DERRINGER WAY, GILBERT, AZ 85297-2150
(480) 510-4967
Mailing address
1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
(480) 510-4967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-16325
AZ
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
10/16/2021
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