Individual
LAURA MARIE BEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6807 CODY ST, BONNERS FERRY, ID 83805-8613
(208) 267-0900
Mailing address
93 FLICKER RD, MOYIE SPRINGS, ID 83845-5039
(208) 610-6036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9171067
ID
Other
Enumeration date
05/28/2025
Last updated
07/28/2025
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