Individual
AMANDA LYNN MANTEUFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(612) 226-1200
Mailing address
722 15TH ST NW, P.O. BOX 640, BEMIDJI, MN 56601-2528
(612) 226-1200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18825
MN
Other
Enumeration date
01/30/2008
Last updated
02/29/2008
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