Provider Demographics
NPI:1982240370
Name:DUNN, LAURA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:O'CONNORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1808 HAWKWEED WAY
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-8722
Mailing Address - Country:US
Mailing Address - Phone:610-212-8638
Mailing Address - Fax:
Practice Address - Street 1:479 THOMAS JONES WAY STE 100
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2585
Practice Address - Country:US
Practice Address - Phone:484-879-6751
Practice Address - Fax:484-879-6759
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127468104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker