Individual
MS. LAURA KAY WINEBRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
33 WHITFIELD RD, SOMERVILLE, MA 02144-1213
(617) 623-8216
Mailing address
33 WHITFIELD RD, SOMERVILLE, MA 02144-1213
(617) 623-8216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101949
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000P03427
BLUE CROSS BLUE SHIELD
MA
01
—
70010000PO3427
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/28/2008
Last updated
01/05/2009
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