Laura C Chase, LCSW
Social Worker, Clinical in Deland, FL. Individual provider (NPI-1).
NPI number1679596019
StatusActive
Last updated in NPPESMar 22, 2013
Details
- NPI
- 1679596019
- Entity type
- Individual (NPI-1)
- Name
- Ms. Laura C Chase
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2006
- Last updated
- Mar 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW11071 | FL | Yes |
| 1041C0700X | Social Worker, Clinical | 0904005047 | VA |
Practice location
647 S Woodland BlvdDeland, FL 32720-5810
Phone 571-337-4997
Mailing address
1051 Stevens StLake Helen, FL 32744-3321
Phone 571-337-4997
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