Individual
MADISON TAYLOR LALIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW, LADC
Contact information
Practice address
3701 12TH ST N STE 201, SAINT CLOUD, MN 56303-2253
(320) 229-3760
Mailing address
3701 12TH ST N STE 201, SAINT CLOUD, MN 56303-2253
(320) 229-3760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306833
MN
104100000X
Social Worker
34476
MN
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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