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Individual

LAURA LOUISE EVENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
4306 BRYANT AVE S, MINNEAPOLIS, MN 55409-1709
(952) 649-6826
(652) 925-0433
Mailing address
5917 DUPONT AVE S, MINNEAPOLIS, MN 55419-2110
(952) 232-9933
(651) 925-0433

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19385
MN

Other

Enumeration date
01/31/2011
Last updated
05/04/2018
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