Individual
MEGAN LEE SIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401
(218) 454-3826
(218) 454-1024
Mailing address
14101 INGLEWOOD DR, BAXTER, MN 56425-8515
(218) 232-8118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23336
MN
Other
Enumeration date
11/11/2016
Last updated
12/03/2019
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