Individual
CLAUDIA LAURENCEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2561 SW GROTTO CIR, PORT ST LUCIE, FL 34953-2927
(786) 326-8742
Mailing address
2561 SW GROTTO CIR, PORT SAINT LUCIE, FL 34953-2927
(178) 632-6874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L652-100-71-707.0
—
FL
Enumeration date
10/16/2020
Last updated
10/16/2020
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