Individual
BOB D BELIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,LP
Contact information
Practice address
409 4TH ST, NASHWAUK, MN 55769-1227
(218) 885-1215
Mailing address
409 4TH ST, NASHWAUK, MN 55769-1227
(218) 259-9572
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3601
MN
Other
Enumeration date
06/06/2007
Last updated
10/26/2011
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