Doctor Name: | MISS LAURA ELIZABETH SOMOGYI |
NPI Number: | 1932207776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., L.B.S.W. |
License Number: | 500044 |
Business Practice Address: | 579 N Riverside Ave Apt. # 8 Saint Clair, MI - 480795476 |
Business Phone Number: | 8103922167 |
Business Fax Number: | 8103922067 |
Mailing Address: | Po Box 41038, MEMPHIS |
State: | MI |
Postal Code: | 480411038 |
Phone Number: | 8103006409 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 500044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |