Laura Lynne Lebrasseur, ITDS

NPI #1467802975 in Fort Walton Beach, Florida

Provider Information

NPI Number: 1467802975
Entity Type: Individual
Name: Laura Lynne Lebrasseur, ITDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: ITDS
Enumeration Date: Jun 15, 2016
Last Updated: Jun 15, 2016

Practice Location

Address: 140 BEACH DR
City: Fort Walton Beach
State: Florida
ZIP Code: 32547-2467
Phone: (850) 225-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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