Individual
LAURA K TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6110 SHALLOWFORD RD, CRC, CHATTANOOGA, TN 37421-1894
(615) 512-1878
Mailing address
7431 114TH AVE STE 104, LARGO, FL 33773-5119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005015
TN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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