Individual
MARY L RYMANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1301 8TH ST S, MOORHEAD, MN 56560-3604
(701) 234-3100
(701) 234-3168
Mailing address
8100 34TH AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5463
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108H5RY
BLUE CROSS BLUE SHIELD
MN
05
—
155898600
—
MN
Enumeration date
02/03/2006
Last updated
12/23/2019
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