Individual
LAURIE A LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
710 WILLOW AVE, COUNCIL BLUFFS, IA 51501-4109
(712) 254-9018
(712) 256-5715
Mailing address
101 E 22ND ST, ATLANTIC, IA 50022-2800
(712) 254-9018
(712) 254-9019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06607
IA
Other
Enumeration date
07/31/2007
Last updated
09/17/2014
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