Individual
LUCIA MARIE BECKENDORF
Active
Individual
LUCIA MARIE BECKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2363
SD
1041C0700X
Clinical Social Worker
007644
IA
1041C0700X
Clinical Social Worker
Primary
22626
MN
Other
Enumeration date
08/26/2010
Last updated
07/26/2017
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