Individual
LAURA BROOKE MACKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
808 REUBEN ST, FREDERICKSBURG, TX 78624-4484
(830) 997-1335
Mailing address
2071 SHIRE MDWS, NEW BRAUNFELS, TX 78130-4297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69158
TX
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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