MR. Brian David Boersma, MSW, LICSW

NPI #1205848553 in Marshall, Minnesota

Provider Information

NPI Number: 1205848553
Entity Type: Individual
Name: MR. Brian David Boersma, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1212 E COLLEGE DR
City: Marshall
State: Minnesota
ZIP Code: 56258-2010
Phone: (507) 532-3236

Specialties & Taxonomy Codes

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

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