Most Relevant Information
Provider Data
| NPI Number: | 1003277039 |
| Provider Name: | ANNA LOUISE LAWRENCE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW26759 |
Most Important Dates
| Enumeration Date: | 03/18/2016 |
| Last Updated: | 03/18/2016 |
Provider Practice Location
207 LARKSPUR ST
PONDERAY
ID
838525011
Practice Location Phone/Fax
| Phone: | 2082553314 |
| Fax: | 2082634198 |
Provider Mailing Location
8120 N AINSWORTH DR
HAYDEN
ID
838357987
Provider Mailing Phone/Fax
| Phone: | 2082775114 |
| Fax: | 2082634198 |