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Provider Information for 1962044958


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LAURA DRUCKER


Sex: Female

NPI: 1962044958
Last Updated: 2024-02-10
Certification Date: 2024-02-10

Details

NameValue
NPI1962044958
Enumeration Date2019-10-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 7909 WALERGA RD STE 112-1294
ANTELOPE, CA 95843-5727
United States

Phone: 916-520-4536 | Fax:
 
Primary Practice Address 7909 WALERGA RD STE 112-1294
ANTELOPE, CA 95843-5727
United States

Phone: 916-520-4536 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - Clinical