Individual
ROCHELLE RENEE NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1821 BURDICK EXPY W, MINOT, ND 58701-5667
(701) 852-7171
(701) 852-7121
Mailing address
1821 BURDICK EXPY W, MINOT, ND 58701-5667
(701) 852-7171
(701) 852-7121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3254
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030078
BLUE CROSS BLUE SHIELD
ND
05
—
54517
—
ND
Enumeration date
10/10/2006
Last updated
01/30/2023
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