Most Relevant Information
Provider Data
NPI Number: | 1003586538 |
Provider Name: | LAURA LEE CAIN LADC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 306170 |
Most Important Dates
Enumeration Date: | 09/16/2021 |
Last Updated: | 09/16/2021 |
Provider Practice Location
529 WOODLEY ST W
NORTHFIELD
MN
550572765
Practice Location Phone/Fax
Phone: | 5072250140 |
Fax: | 5073015703 |
Provider Mailing Location
529 WOODLEY ST W
NORTHFIELD
MN
550572765
Provider Mailing Phone/Fax
Phone: | 5072250140 |
Fax: |