Laratta, Danielle Larae

Laratta, Danielle Larae is an individual health care provider with primary practice located at 207 Fairmont Ave , Fairmont WV 26554-2710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Laratta, Danielle Larae can be contacted via phone (681) 404-6869.

Contact Information

Primary practice address
207 Fairmont Ave Fairmont WV 26554-2710
Phone: (681) 404-6869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00943635 West Virginia

Profile Details

NPI number 1417627555
LBN Legal business name Laratta, Danielle Larae
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2021
Last updated Sep 20th, 2021 - about 3 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 1417627555 NPPES
West Virginia Other DP00943635 SOCIAL WORK LICENSE

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