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Individual

LAURA LEE VOLDAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Mailing address
329 PARK ST, DETROIT LAKES, MN 56501-3639

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12795
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019245
PREFERREDONE
MN
01
126418
UCARE MINNESOTA
MN
01
62-51554
UNITED BEHAVIORAL HEALTH
MN
01
HP32927
HEALTHPARTNERS
MN
Enumeration date
06/02/2006
Last updated
06/26/2019
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