Individual
MS. LAURIE KATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
340 N MOUNT VERNON AVE, PRESCOTT, AZ 86301-2620
(928) 445-8393
Mailing address
451 HILLCREST DR, PRESCOTT, AZ 86303-5813
(928) 541-9826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z121191
MEDICARE PTAN
AZ
Enumeration date
01/06/2006
Last updated
03/26/2009
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