Bonnie Rose Beranek-fortwengler LICSW

NPI 1215246640 - Social Worker - 1041C0700X

NPI Details
NPI 1215246640
Gender Female
Enumeration Date 10/04/2010
Last Updated 10/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1324 5TH ST N
NEW ULM MN, 56073-1514, US
Phone (507) 233-1000
Fax (507) 233-1198
Business Location
1324 5TH ST N
NEW ULM MN, 56073-1514, US
Phone (507) 233-1000
Fax (507) 233-1198
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 15077
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According to our database, Bonnie Rose Beranek-fortwengler LICSW NPI is 1215246640, taxonomy code is 1041C0700X and license number is 15077, license state is located at Minnesota. Bonnie Rose Beranek-fortwengler LICSW physically located at 1324 5th St N, New Ulm MN, 56073-1514. NPI Number Bonnie Rose Beranek-fortwengler LICSW has the Individual type.

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1215246640 NPI number is provided on an as is basis without warranty of any kind. 1215246640 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Rose Beranek-fortwengler LICSW are for informational purposes only.