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NPI Code Detail

MEDICARE: LAUREN KELLERSMAN SALIBA LCSW-S

MEDICARE: LAUREN KELLERSMAN SALIBA LCSW-S
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 Worker55814TX

General Provider Information

NPI Number : 1124356001
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN KELLERSMAN SALIBA LCSW-S
Provider Business Mailing Address
First Line : 161 W 3RD ST STE 100
Second Line :
City : PROSPER
State : TX
Zip : 75078-2906
Country : US
Telephone Number : 214-618-8402
Fax Number :
Provider Business Practice Location Address
First Line : 161 W 3RD ST STE 100
Second Line :
City : PROSPER
State : TX
Zip : 75078-2906
Country : US
Telephone Number : 214-618-8402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2009
Last Update Date : 04/03/2023

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Directions to “ LAUREN KELLERSMAN SALIBA LCSW-S” Practice Location

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