MS. Laura Elizabeth Mckibbin, LICSW

NPI #1457468274 in Owatonna, Minnesota

Provider Information

NPI Number: 1457468274
Entity Type: Individual
Name: MS. Laura Elizabeth Mckibbin, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Aug 25, 2006
Last Updated: Sep 25, 2007

Practice Location

Address: 1880 AUSTIN RD
Address 2: SUITE 2 MENTAL HEALTH PROFESSIONALS
City: Owatonna
State: Minnesota
ZIP Code: 55060-4402
Phone: (507) 446-8123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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