Individual
MARLENE ANN BEECROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LICSW
Contact information
Practice address
1930 COON RAPIDS BOULEVARD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433
(763) 427-7964
(763) 427-7976
Mailing address
1930 COON RAPIDS BOULEVARD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433
(763) 427-7964
(763) 427-7976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
01724
MN
1041C0700X
Clinical Social Worker
Primary
LP01724
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011797
PREFERRED ONE
MN
01
—
150322
U-CARE
MN
05
—
472357100
—
MN
01
—
6C871BE
BCBS OF MN
MN
01
—
HP30584
HEALTH PARTNERS
MN
Enumeration date
02/13/2007
Last updated
12/10/2008
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