Lawrence Carlson Willoughby, LCSW
NPI #1063488963 in South Bend, Indiana
Provider Information
- NPI Number
- 1063488963
- Entity Type
- Individual
- Name
- Lawrence Carlson Willoughby, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Sep 28, 2010
Practice Location
- Address
- 403 E MADISON ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-2322
- Phone
- (574) 533-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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