Individual
ELIZABETH BACZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
4855 W ARROWHEAD RD, ESSENTIA HEALTH HERMANTOWN CLINIC, HERMANTOWN, MN 55811-3936
(218) 786-3540
Mailing address
4855 W ARROWHEAD RD, ESSENTIA HEALTH HERMANTOWN CLINIC, HERMANTOWN, MN 55811-3936
(218) 786-3540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17454
MN
Other
Enumeration date
09/06/2007
Last updated
01/09/2012
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