Individual
BYLLIE JEAN GWYN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
24246 CRANE ROAD, WHITE EARTH, MN 56591
(218) 983-4703
Mailing address
3205 COUNTY ROAD 144, WAUBUN, MN 56589-9008
(218) 556-6919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20631
MN
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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