Provider Demographics
NPI:1760063721
Name:SANCHEZ, LAURA (MSW, LMSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 W LOCUST ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-4596
Mailing Address - Country:US
Mailing Address - Phone:563-258-0722
Mailing Address - Fax:
Practice Address - Street 1:2774 UNIVERSITY AVE STE D
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-5669
Practice Address - Country:US
Practice Address - Phone:888-316-3025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA105173104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker