Individual
LAURA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6483
(218) 362-6702
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6483
(218) 362-6702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15962
MN
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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