Individual
EMILY J LACONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
10505 WAYZATA BLVD STE 203-7, MINNETONKA, MN 55305-1502
(612) 219-7620
(612) 256-4865
Mailing address
10505 WAYZATA BLVD STE 203-7, MINNETONKA, MN 55305-1502
(612) 219-7620
(612) 256-4865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16652
MN
Other
Enumeration date
03/14/2018
Last updated
08/08/2022
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