Individual
KAYLA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
25887
MN
1041C0700X
Clinical Social Worker
5237
ND
174400000X
Specialist
—
—
Other
Enumeration date
08/19/2015
Last updated
12/23/2025
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