Debra Maddox Laurie, LCSW

NPI #1114225620 in Fulton, Missouri

Provider Information

NPI Number: 1114225620
Entity Type: Individual
Name: Debra Maddox Laurie, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 8, 2011
Last Updated: Dec 3, 2018

Practice Location

Address: 500 MARKET ST STE 101
City: Fulton
State: Missouri
ZIP Code: 65251-2808
Phone: (573) 246-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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