Individual
LAURA CHRISTINE HATTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5515 FOXRIDGE DR STE 5, MISSION, KS 66202-1509
(785) 249-5160
Mailing address
5429 FOXRIDGE DR APT 201, MISSION, KS 66202-4515
(785) 249-5160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4251
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201239060
—
KS
05
—
490075139
—
MO
Enumeration date
05/14/2019
Last updated
02/15/2020
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