Individual
MRS. LAURI M SPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 MYRTLE ST, RUTHERFORD, NJ 07070
(201) 615-3299
(201) 933-6026
Mailing address
55 MYRTLE ST, RUTHERFORD, NJ 07070
(201) 615-3299
(201) 933-6026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05190200
NJ
1041C0700X
Clinical Social Worker
44SC05190200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006602
—
NJ
Enumeration date
07/13/2006
Last updated
07/01/2009
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