Laura Black LICSW

NPI 1770971921 - Social Worker - 1041C0700X

NPI Details
NPI 1770971921
Gender Female
Enumeration Date 12/22/2014
Last Updated 12/22/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
1100 GLENWOOD AVE
MINNEAPOLIS MN, 55405-1430, US
Phone (612) 871-1454
Fax (612) 871-1505
Business Location
1100 GLENWOOD AVE
MINNEAPOLIS MN, 55405-1430, US
Phone (612) 871-1454
Fax (612) 871-1505
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 23496
Remove 1770971921 NPI Number
 

According to our database, Laura Black LICSW NPI is 1770971921, taxonomy code is 1041C0700X and license number is 23496, license state is located at Minnesota. Laura Black LICSW physically located at 1100 Glenwood Ave, Minneapolis MN, 55405-1430. NPI Number Laura Black LICSW has the Individual type.

Sponsored links

1770971921 NPI number is provided on an as is basis without warranty of any kind. 1770971921 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Black LICSW are for informational purposes only.