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Individual
MRS. STEPHANIE A BUMGARDNER
Active
Individual
MRS. STEPHANIE A BUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.I.C.S.W
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16568
MN
1041C0700X
Clinical Social Worker
Primary
16568
MN
Other
Enumeration date
04/24/2009
Last updated
03/30/2022
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