| Mary Bradford Clark, LICSW | |
|
6401 University Ave Ne, Suite 304 Bhsi Llc, Fridley, MN 55432-4344 | |
| (651) 769-6250 | |
| (651) 769-6299 |
| Full Name | Mary Bradford Clark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6401 University Ave Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659468437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17311 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Bradford Clark, LICSW 2497 7th Ave E, Suite 101 C/o Bhsi Llc, North Saint Paul, MN 55109-2496 Ph: (651) 769-6437 | Mary Bradford Clark, LICSW 6401 University Ave Ne, Suite 304 Bhsi Llc, Fridley, MN 55432-4344 Ph: (651) 769-6250 |
Kimberly E Schultz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338 | |
Charlette Kay Carlotto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Suite 304, Fridley, MN 55432 Phone: 651-769-6250 Fax: 651-769-6299 | |
Carolyn Sarah Menger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338 | |
Mrs. Erin Kristine Church, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 255, Fridley, MN 55432 Phone: 763-786-6011 | |
Megan Hickenbottom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-7958 | |
Amanda Boelen Harrington, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7954 University Ave Ne, Fridley, MN 55432 Phone: 763-780-3036 | |
Shannon Martina Rapalo Medina, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-913-9184 |