Individual
MARLA JACQUELINE POGORELC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
104 NE 3RD ST # 200H, GRAND RAPIDS, MN 55744-2869
(218) 999-7081
Mailing address
104 NE 3RD ST # 200H, GRAND RAPIDS, MN 55744-2869
(218) 999-7081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
26327
MN
1041C0700X
Clinical Social Worker
Primary
26327
MN
Other
Enumeration date
03/05/2020
Last updated
12/12/2022
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