Organization
LAURA WILLENBORG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WILLENBORG LCSW (SOLE MBR)
(765) 413-5835
Entity
Organization
Contact information
Practice address
1000 SAGAMORE PKWY N STE 207, LAFAYETTE, IN 47904-2474
(815) 343-2074
Mailing address
1000 SAGAMORE PKWY N STE 207, LAFAYETTE, IN 47904-2474
(815) 343-2074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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