Provider Demographics
NPI:1427547520
Name:VO, LAURA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MANU ST
Mailing Address - Street 2:
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-8519
Mailing Address - Country:US
Mailing Address - Phone:215-983-0741
Mailing Address - Fax:
Practice Address - Street 1:27 MANU ST
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790
Practice Address - Country:US
Practice Address - Phone:215-983-0741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical