Individual
ALAN J O'MALLEY-LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 451-2630
(507) 455-8133
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01102
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118033
UCARE
MN
01
—
62-20362
UNITED BEHAVIORAL HEALTH
MN
01
—
68543OM
BLUE CROSS BLUE SHIELD
MN
01
—
HP20275
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
09/05/2007
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