Individual
LAURA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2024 W 3RD ST, DULUTH, MN 55806-2053
(218) 722-1531
Mailing address
2024 W 3RD ST, DULUTH, MN 55806-2053
(218) 723-1351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19776
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306108998
—
MN
Enumeration date
06/11/2012
Last updated
12/02/2013
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