Individual
JACOB BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4062 28TH AVE N, MOORHEAD, MN 56560-7019
(507) 351-2143
Mailing address
4062 28TH AVE N, MOORHEAD, MN 56560-7019
(507) 351-2143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20390
MN
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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