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MICHELLE LYNN BETTIN MSW LICSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1073965430
Individual Registrant: MICHELLE LYNN BETTIN MSW LICSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1511 E MINNESOTA ST # 6 SAINT JOSEPH, MN 56374-8618 US
Tel: 320-200-7252 Fax: --
Tel: 320-200-7252 Fax: --
Contact information for business:
847 SIERRA LN SAINT CLOUD, MN 56303-1174 US
Tel: 320-293-4341 Fax: 320-200-7252
Tel: 320-293-4341 Fax: 320-200-7252
Registration Information:
NPI: 1073965430
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | MN | 14164 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
