Provider Demographics
NPI:1083948244
Name:COMPTON, LAURA DARLENE (MSW, LISW-S)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:DARLENE
Last Name:COMPTON
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:L.
Other - Middle Name:DARLENE
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LISW-S
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-0284
Mailing Address - Country:US
Mailing Address - Phone:740-644-7948
Mailing Address - Fax:
Practice Address - Street 1:935 RIVER RD
Practice Address - Street 2:SUITE E
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-9584
Practice Address - Country:US
Practice Address - Phone:740-644-7948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-07004251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical