Organization
LAURA WEATHERBY PLLC
Active
Other names
Glacial Lakes Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA BETH WEATHERBY LP (LICENSED PSYCHOLOGIST)
(320) 220-4046
Entity
Organization
Contact information
Practice address
800 E DEPUE AVE STE B, OLIVIA, MN 56277-1388
(000) 000-0000
Mailing address
1323 KANDIYOHI AVE SW, WILLMAR, MN 56201-2956
(320) 220-4046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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