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NPI Code Detail

MEDICARE: LAURA ANGLEY LCSW

MEDICARE:   LAURA  ANGLEY  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW009403GA
2101YA0400XAddiction (Substance Use Disorder) CounselorMSW009676GA

General Provider Information

NPI Number : 1538740022
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANGLEY LCSW
Provider Business Mailing Address
First Line : 380 DAHLONEGA ST STE 100
Second Line :
City : CUMMING
State : GA
Zip : 30040-8219
Country : US
Telephone Number : 678-771-8468
Fax Number :
Provider Business Practice Location Address
First Line : 380 DAHLONEGA ST STE 100
Second Line :
City : CUMMING
State : GA
Zip : 30040-8219
Country : US
Telephone Number : 678-771-8468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2021
Last Update Date : 06/11/2026

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Directions to “ LAURA ANGLEY LCSW” Practice Location

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