| NPI | 1174580609 |
|---|---|
| Former Name | LAURIE ANN JAMISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW123303) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: PA ED HM SCHOOL VISITOR) |
| 1041C0700X Social Worker Clinical (Licence: PA CW123303) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |