Individual
LARAE MARIE LETEXIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
911 COTTONWOOD ST APT 103, GRAND FORKS, ND 58201-4843
(218) 773-6413
Mailing address
911 COTTONWOOD ST APT 103, GRAND FORKS, ND 58201-4843
(218) 773-6413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12271-123
WI
1041C0700X
Clinical Social Worker
Primary
34859
MN
1041C0700X
Clinical Social Worker
7019
ND
Other
Enumeration date
09/02/2025
Last updated
05/15/2026
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