MRS. Bethany Rose Nordby, LICSW

NPI #1023300092 in Brainerd, Minnesota

Provider Information

NPI Number
1023300092
Entity Type
Individual
Name
MRS. Bethany Rose Nordby, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
May 10, 2011
Last Updated
May 10, 2011

Practice Location

Address
823 MAPLE ST
ZIP Code
56401-3770
Phone
(218) 454-4065

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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