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NPI Code Detail

MEDICARE: MADELYN LAFLAMME LGSW

MEDICARE: MADELYN LAFLAMME LGSW
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
1104100000XSocial Worker31624MN

General Provider Information

NPI Number : 1194521393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN LAFLAMME LGSW
Provider Business Mailing Address
First Line : 4017 GLADSTONE ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-1953
Country : US
Telephone Number : 218-390-1446
Fax Number :
Provider Business Practice Location Address
First Line : 1804 CLOQUET AVE
Second Line :
City : CLOQUET
State : MN
Zip : 55720-2141
Country : US
Telephone Number : 218-390-1446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2025
Last Update Date : 02/20/2025

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Directions to “ MADELYN LAFLAMME LGSW” Practice Location

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