Individual
DAVID STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4133 IOWA ST, ALEXANDRIA, MN 56308-3316
(320) 762-8851
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1449
MN
1041C0700X
Clinical Social Worker
Primary
7483
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06H9ST
BCBS MN
MN
01
—
31002005
PRIMEWEST
MN
05
—
522853100
—
MN
01
—
56308-A004
TRI WEST
MN
01
—
62-70233
MEDICA UBH
MN
Enumeration date
04/24/2007
Last updated
02/25/2020
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