MRS. Stephanie A Bumgardner, M.S.W., L.I.C.S.W

NPI #1306080197 in Bemidji, Minnesota

Provider Information

NPI Number
1306080197
Entity Type
Individual
Name
MRS. Stephanie A Bumgardner, M.S.W., L.I.C.S.W
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
M.S.W., L.I.C.S.W
Enumeration Date
Apr 24, 2009
Last Updated
Mar 30, 2022

Practice Location

Address
1526 30TH ST NW
ZIP Code
56601-4140
Phone
(218) 751-0887

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical

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