Individual
LAVAUGHN MARGUERITE BYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
300 CECIL ST SE, MINNEAPOLIS, MN 55414-3602
(612) 338-3701
Mailing address
300 CECIL ST SE, MINNEAPOLIS, MN 55414-3602
(612) 338-3701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MN00053
MN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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