Individual
KASEY J BISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1414 S OAK AVE, OWATONNA, MN 55060-3900
(507) 676-6834
Mailing address
1925 PHEASANT RUN DR NE, OWATONNA, MN 55060-3208
(507) 676-5932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287153000
—
MN
Enumeration date
04/11/2007
Last updated
02/05/2024
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