Most Relevant Information
Provider Data
| NPI Number: | 1003261470 |
| Provider Name: | LAURA MAXWELL LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 15962 |
Most Important Dates
| Enumeration Date: | 05/04/2016 |
| Last Updated: | 05/04/2016 |
Provider Practice Location
750 E 34TH ST
HIBBING
MN
557462341
Practice Location Phone/Fax
| Phone: | 2183626483 |
| Fax: | 2183626702 |
Provider Mailing Location
750 E 34TH ST
HIBBING
MN
557462341
Provider Mailing Phone/Fax
| Phone: | 2183626483 |
| Fax: | 2183626702 |