| Laura M. Shires, Lcsw, Llc | |
|
24 Ledge Road Old Saybrook CT 06475 | |
| (860) 989-0422 | |
| (860) 395-0184 |
| Full Name | Laura M. Shires, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 Ledge Road, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Laura M Shires (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8609890422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura M. Shires, Lcsw, Llc 24 Ledge Rd Old Saybrook CT 06475-2106 Ph: (860) 989-0422 | Laura M. Shires, Lcsw, Llc 24 Ledge Road Old Saybrook CT 06475 Ph: (860) 989-0422 |
| NPI Number | 1841661469 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841661469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005557 (Connecticut) | Primary |
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