MCKENZIE BOMSTAD, MSW, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1316503683
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 30958 (MN) |
Frequently Asked Questions
NPI 1316503683 is the National Provider Identifier for MCKENZIE BOMSTAD, MSW, LICSW, a Social Worker - Clinical provider located in Waite Park, MN. This NPI was enumerated on May 13, 2019.
MCKENZIE BOMSTAD, MSW, LICSW practices at 411 3RD ST N, Waite Park, MN 56387.
Quick Facts
- NPI
- 1316503683
- Type
- Individual
- Enumerated
- May 13, 2019
- Last Updated
- Dec 6, 2024
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