Laura A Addicks, LCSW
Social Worker, Clinical in Mansfield, TX. Individual provider (NPI-1).
NPI number1871265082
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1871265082
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laura A Addicks
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2021
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 41087 | TX | Yes |
Practice location
602 Dover Heights TrlMansfield, TX 76063-2860
Phone 717-734-8072
Mailing address
602 Dover Heights TrlMansfield, TX 76063-2860
Phone 717-734-8072
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