MEDICARE: LAURA BYER LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	26381	MN

General Provider Information

NPI Number	:	1447056130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BYER LICSW

Provider Business Mailing Address
First Line	:	11387 TOWN CENTER DR NE
Second Line	:
City	:	SAINT MICHAEL
State	:	MN
Zip	:	55376-4599
Country	:	US
Telephone Number	:	763-257-9173
Fax Number	:

Provider Business Practice Location Address
First Line	:	11387 TOWN CENTER DR NE
Second Line	:
City	:	SAINT MICHAEL
State	:	MN
Zip	:	55376-4599
Country	:	US
Telephone Number	:	763-257-9173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2025
Last Update Date	:	02/22/2025

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Directions to “ LAURA BYER LICSW” Practice Location

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