Provider Demographics
NPI:1710476783
Name:LAIH, KAMIE ANN (LSW)
Entity Type:Individual
Prefix:MS
First Name:KAMIE
Middle Name:ANN
Last Name:LAIH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 YOUNG RD APT 7
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-3180
Mailing Address - Country:US
Mailing Address - Phone:814-730-7431
Mailing Address - Fax:
Practice Address - Street 1:630 YOUNG RD APT 7
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-3180
Practice Address - Country:US
Practice Address - Phone:814-730-7431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-05
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134944104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker