Provider Demographics
NPI:1336908342
Name:LARAMORE, JAMES (LMSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LARAMORE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ZACHARY LN
Mailing Address - Street 2:
Mailing Address - City:CARL JUNCTION
Mailing Address - State:MO
Mailing Address - Zip Code:64834-9697
Mailing Address - Country:US
Mailing Address - Phone:417-291-6673
Mailing Address - Fax:
Practice Address - Street 1:58150 E 66 RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-6509
Practice Address - Country:US
Practice Address - Phone:918-542-1786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20874104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker