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SARAH J GUBBELS LICSW

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

Registrant NPI Number: 1043532252

Individual Registrant:
 SARAH J GUBBELS LICSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
600 MAIN AVE S  BAUDETTE, MN 56623-2855 US
Tel: 218-634-2120  Fax: --

Contact information for business:
600 MAIN AVE S  BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655  Fax: 218-634-1094

Registration Information:
NPI: 1043532252
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
ND4252
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
MTSWP-LCSW-LIC-4644
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
ND4252
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
MN30072

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS/BLUE SHIELD OF ND1043532252ND01
19308ND05
74133ND05




HEALTH CARE JOBS MN - Page 1



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