Individual
MARK FRANCIS BUBLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-7202
(218) 454-3831
Mailing address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-7202
(218) 454-3831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LICSW
MN
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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