Individual
JANICE G CARR-HERSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782
Mailing address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9295
MN
104100000X
Social Worker
Primary
9295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497472700
—
MN
Enumeration date
05/03/2007
Last updated
01/15/2019
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