Individual
LEILA NORTHBIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
51298 W MAYBERRY DR, CASS LAKE, MN 56633-3382
(218) 760-7880
Mailing address
51298 W MAYBERRY DR, CASS LAKE, MN 56633-3382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31458
MN
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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