Individual
MARY JO CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LICSW
Contact information
Practice address
513 SW 5TH STREET, WILLMAR, MN 56201
(320) 214-9692
(320) 214-9924
Mailing address
513 SW 5TH STREET, P.O. BOX 1810, WILLMAR, MN 56201
(320) 214-9692
(320) 214-9924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10202
MN
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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