Individual
MARK J ENGEBRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5814 ELINOR ST, DULUTH, MN 55807-1215
(218) 428-9652
Mailing address
3116 LYMAN ST, DULUTH, MN 55806-1147
(218) 428-9652
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MN
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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