Liberty, Lauren Rae

Liberty, Lauren Rae is an sole proprietor health care provider with primary practice located at 10400 Fricot City Rd , San Andreas CA 95249-9642. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Liberty, Lauren Rae can be contacted via phone (209) 304-3986.

Contact Information

Primary practice address
10400 Fricot City Rd San Andreas CA 95249-9642
Phone: (209) 304-3986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 22803 California

Profile Details

NPI number 1609092212
LBN Legal business name Liberty, Lauren Rae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Nov 8th, 2011 - about 14 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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