Mariah Pundsack, LICSW

NPI #1780165274 in Brainerd, Minnesota

Provider Information

NPI Number
1780165274
Entity Type
Individual
Name
Mariah Pundsack, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Aug 23, 2018
Last Updated
Oct 19, 2021

Practice Location

Address
823 MAPLE ST
ZIP Code
56401-3770
Phone
(218) 454-3848

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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