Individual
LAURA MARTHA HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
922 10TH AVE N, SAINT CLOUD, MN 56303-2935
(507) 338-1320
Mailing address
922 10TH AVE N, SAINT CLOUD, MN 56303-2935
(507) 338-1320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29135
MN
Other
Enumeration date
08/04/2021
Last updated
11/17/2023
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