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Individual

MARY MONIQUE SEBRING

Active
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Individual

MARY MONIQUE SEBRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12895
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113219
U CARE
MN
05
221985900
MN
01
31002005
PRIME WEST
MN
01
42G17AV
BCBS MN
MN
01
56308-A002
TRI WEST
MN
01
62-76940
MEDICA UBH
MN
01
990991042538
BHP PREFERRED 1
MN
01
HP39762
HEALTH PARTNERS
MN
Enumeration date
10/12/2006
Last updated
09/03/2021
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