Individual
MAE MAURER-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC LICSW
Contact information
Practice address
109 WASHBURNE AVE, PAYNESVILLE, MN 56362-1640
(320) 296-1121
Mailing address
421 E 4TH ST, LITCHFIELD, MN 55355-2208
(320) 296-1121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304336
MN
1041C0700X
Clinical Social Worker
18047
MN
Other
Enumeration date
11/24/2018
Last updated
09/12/2019
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