Individual
LAURA OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
350 VISTA COURT DR APT 5207, PLANO, TX 75074-8374
(214) 632-5930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13407-C
AR
1041C0700X
Clinical Social Worker
19119
TX
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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