Individual
MARTHA ANN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
513 5TH ST SW, WILLMAR, MN 56201-3216
(320) 214-9692
(320) 214-9924
Mailing address
62199 199TH ST, LITCHFIELD, MN 55355-6407
(320) 693-6397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Q59CH
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
09/01/2006
Last updated
07/08/2007
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