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BETH L HANRETTY LSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1285052910

Individual Registrant:
 BETH L HANRETTY LSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
18 2ND AVE SE  STANLEY, ND 58784-0039 US
Tel: 701-628-2925  Fax: 701-628-3175

Contact information for business:
PO BOX 39 18 2ND AVE SE STANLEY, ND 58784-0039 US
Tel: 701-628-2925  Fax: 701-628-3175

Registration Information:
NPI: 1285052910
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SW LICENSE4844ND01




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