Individual
ERICA RENEE LAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
11990 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(612) 217-4310
(952) 479-7896
Mailing address
11990 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(612) 217-4310
(952) 479-7896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27498
MN
390200000X
Student in an Organized Health Care Education/Training Program
27498
MN
Other
Enumeration date
07/22/2015
Last updated
05/03/2022
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