Davis, Laura Elizabeth

Davis, Laura Elizabeth is an individual health care provider with primary practice located at 10 Main St , Florence MA 01062-3160. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Laura Elizabeth can be contacted via phone (413) 586-8550.

Contact Information

Primary practice address
10 Main St Florence MA 01062-3160
Phone: (413) 586-8550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I4134 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 114293 Massachusetts

Profile Details

NPI number 1164615597
LBN Legal business name Davis, Laura Elizabeth
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Apr 5th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164615597 NPPES
New Mexico Other A1999 DD WAIVER DEPT OF HEALTH
New Mexico MEDICAID 00072258 DD WAIVER DEPT OF HEALTH
New Mexico Other 100206 DD WAIVER DEPT OF HEALTH

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