Bridget Leonard, | |
612 S Union Ave, Fergus Falls, MN 56537-2711 | |
(651) 587-3884 | |
Not Available |
Full Name | Bridget Leonard |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 612 S Union Ave, Fergus Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316368616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18865 (Minnesota) | Primary |
Entity Name | Life On Purpose Counseling & Neurofeedback Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942708573 PECOS PAC ID: 2466712997 Enrollment ID: O20180201001339 |
Mailing Address | Practice Location Address |
---|---|
Bridget Leonard, 612 S Union Ave, Fergus Falls, MN 56537-2711 Ph: (651) 587-3884 | Bridget Leonard, 612 S Union Ave, Fergus Falls, MN 56537-2711 Ph: (651) 587-3884 |
Megan Cyrilla Grover, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 731 Western Ave, Fergus Falls, MN 56537 Phone: 218-736-5431 | |
Mrs. Jane Mary Bjornson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21081 County Hwy 1, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-6980 | |
Dennis D. Nims, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-6980 | |
Cindy J Keller, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1806 E Fir Ave, Suite 500, Fergus Falls, MN 56537 Phone: 218-205-2743 | |
Dawn Marie Gehrke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 980 S Tower Rd, Fergus Falls, MN 56537 Phone: 218-671-0460 | |
Diana I. Hall, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-6980 |