Individual
MARIAH PUNDSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-3848
Mailing address
22605 440TH ST, FREEPORT, MN 56331-9620
(320) 295-6364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22157
MN
Other
Enumeration date
08/23/2018
Last updated
10/19/2021
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