Individual
MARY SCHWIETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1665 W MAIN ST, ALBERT LEA, MN 56007-1868
(507) 000-0000
(507) 000-0000
Mailing address
1665 W MAIN ST, ALBERT LEA, MN 56007-1868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13077
MN
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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