Mireille Anne Bardy, LICSW
Social Worker, Clinical in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1609964725
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609964725
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mireille Anne Bardy
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14932 | MN | Yes |
Practice location
7600 Boone Ave NSuite 2
Brooklyn Park, MN 55428-4563
Phone 763-515-2456 · Fax 763-515-2442
Mailing address
7600 Boone Ave NSuite 2
Brooklyn Park, MN 55428-4563
Phone 763-515-2456 · Fax 763-515-2442
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