Individual
KRISTI YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
516 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Mailing address
PO BOX 430, BEMIDJI, MN 56619-0430
(218) 444-2845
(218) 444-2847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620757000
—
MN
01
—
978T4YO
BCBSMN
MN
Enumeration date
09/26/2007
Last updated
06/21/2012
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