Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LAURA ANN STAFFORD, LICSW
Active Sole ProprietorMRS. LAURA ANN STAFFORD, LICSW is a Residential Treatment, Emotionally Disturbed Children healthcare provider located in FORT MYERS, Florida. NPI 1104050178 is currently active in the NPPES registry. Verify at CMS.
Residential Treatment, Emotionally Disturbed Children · FORT MYERS, FL
Registration Details
- NPI Number
- 1104050178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2009 (17.090761780489 yrs)
- Last Updated
- Apr 1, 2015
- License
-
111844 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12550 NEW BRITTANY BLVDSUITE 201FORT MYERS, FL, 339073655Browse FL providers · Browse ZIP 33907
- Phone
- 2393439190
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.