Individual
GEORGE DUBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
513 5TH ST SW, WILLMAR, MN 56201-3216
(320) 214-9692
(320) 214-9924
Mailing address
11208 HIGHWAY 71 NE, SPICER, MN 56288-9311
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1435
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Q38DU
BCBS
MN
01
—
122231
BHP/UCARE
MN
01
—
35581
HEALTHPARTNERS
MN
01
—
62-54678
UBH/MEDICA
MN
Enumeration date
09/20/2006
Last updated
07/09/2007
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