Individual
MARY SOULE GEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
615 PECAN AVE, DULUTH, MN 55811-2749
(218) 355-2100
Mailing address
615 PECAN AVE, DULUTH, MN 55811-2749
(218) 355-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149008771
IL
1041C0700X
Clinical Social Worker
Primary
19635
MN
1041C0700X
Clinical Social Worker
9526-123
WI
Other
Enumeration date
07/10/2007
Last updated
12/02/2021
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