Provider Demographics
NPI:1194521393
Name:LAFLAMME, MADELYN (LGSW)
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:
Last Name:LAFLAMME
Suffix:
Gender:
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 GLADSTONE ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-1953
Mailing Address - Country:US
Mailing Address - Phone:218-390-1446
Mailing Address - Fax:
Practice Address - Street 1:1804 CLOQUET AVE
Practice Address - Street 2:
Practice Address - City:CLOQUET
Practice Address - State:MN
Practice Address - Zip Code:55720-2141
Practice Address - Country:US
Practice Address - Phone:218-390-1446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31624104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker