Laurie K Halversen, LCSW
NPI #1356649545 in Clearlake, California
Provider Information
- NPI Number
- 1356649545
- Entity Type
- Individual
- Name
- Laurie K Halversen, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 11, 2011
- Last Updated
- Mar 11, 2011
Practice Location
- Address
- 15630 18TH AVE
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-9336
- Phone
- (707) 994-6486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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